Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SPARTAN REHABILITATION, LLC
Active
Organization
SPARTAN REHABILITATION, LLC
Active
Other names
Spartan Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOMINIC KOULIANOS P.T. (PHYSICAL THERAPIST)
(330) 758-5533
Entity
Organization
Contact information
Practice address
6431 MAHONING AVE, 2, YOUNGSTOWN, OH 44515-2039
(330) 651-6824
(330) 609-5553
Mailing address
6431 MAHONING AVE, 2, YOUNGSTOWN, OH 44515-2039
(330) 651-6824
(330) 609-5553
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
PT8632
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2198643
—
OH
Enumeration date
01/30/2013
Last updated
08/01/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers