Provider Demographics
NPI:1053524231
Name:YOUNGSTOWN PHYSICAL THERAPISTS INC.
Entity type:Organization
Organization Name:YOUNGSTOWN PHYSICAL THERAPISTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:RALPH
Authorized Official - Last Name:RANALLI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:330-783-2256
Mailing Address - Street 1:5500 MARKET ST
Mailing Address - Street 2:SUITE 127
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-2601
Mailing Address - Country:US
Mailing Address - Phone:330-783-2256
Mailing Address - Fax:330-783-5068
Practice Address - Street 1:5500 MARKET ST
Practice Address - Street 2:SUITE 127
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-2601
Practice Address - Country:US
Practice Address - Phone:330-783-2256
Practice Address - Fax:330-783-5068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH01380225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9302401Medicare PIN