Provider Demographics
NPI:1053355826
Name:TOTAL JOINT REHABILITATION INC.
Entity type:Organization
Organization Name:TOTAL JOINT REHABILITATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:KUCHARSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:216-225-7054
Mailing Address - Street 1:16506 MUNN RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111-2065
Mailing Address - Country:US
Mailing Address - Phone:216-225-7054
Mailing Address - Fax:216-476-1428
Practice Address - Street 1:34143 CENTER RIDGE RD
Practice Address - Street 2:
Practice Address - City:NORTH RIDGEVILLE
Practice Address - State:OH
Practice Address - Zip Code:44039-3221
Practice Address - Country:US
Practice Address - Phone:216-225-7054
Practice Address - Fax:216-476-1428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT. 0086262251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty