OrganizationActive
Mobility Rehabilitation Specialist
NPI 1679623946 · Physical Therapist · Maumee, OH
Provider details
- NPI number
- 1679623946
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jackie Heller, Manager(513) 232-1924
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
3039 Plumbrook Dr
Maumee, OH 43537-9662
Phone: (419) 361-9037
Fax: (419) 474-2505
Street-level locationGet directions
Mailing address
3039 Plumbrook Dr
Maumee, OH 43537-9662
Registry dates
- Enumerated
- 2007-01-11
- Last updated
- 2007-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.