Custom Care Rehab, LLC
NPI 1619598778 · Physical Therapist · Peninsula, OH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Custom Care Rehab, LLC is a Physical Therapist organization in Peninsula, OH (NPI 1619598778).
Provider details
- NPI number
- 1619598778
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Amy Mcmillin, Owner/ Physical Therapist(330) 618-5703
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-04-29
- Last updated
- 2020-06-20
- Certified
- 2020-06-20
Frequently asked questions
- What is Custom Care Rehab, LLC's NPI number?
- Custom Care Rehab, LLC's National Provider Identifier (NPI) is 1619598778, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Custom Care Rehab, LLC?
- Custom Care Rehab, LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Custom Care Rehab, LLC located?
- Custom Care Rehab, LLC's practice location on file with NPPES is 4175 Bellaire Ln, Peninsula, OH 44264-9787.
- What is Custom Care Rehab, LLC's phone number?
- The practice phone number listed in the NPPES registry for Custom Care Rehab, LLC is (330) 618-5703.
- Does Custom Care Rehab, LLC accept Medicare?
- Custom Care Rehab, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Custom Care Rehab, LLC?
- The authorized official listed on Custom Care Rehab, LLC's NPPES record is Amy Mcmillin, Owner/ Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Custom Care Rehab, LLC's NPI active?
- Yes — Custom Care Rehab, LLC's NPI (1619598778) is active in the NPPES registry as of the last update on 2020-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.