Physicians Diagnostic & Rehabilitation Center Inc
NPI 1417058009ActiveOrganization· Chiropractor· Boardman, OH
Chiropractor in Boardman, Ohio, registered in NPPES in September 2006. The authorized official on file is Maria Ignazio, Office Manager.
Overview
| NPI | 1417058009 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 26, 2006 |
| Last updated in NPPES | Jan 26, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 2533 | OH |
| Chiropractor | 111N00000X | 2426 | OH |
| Physical Medicine & Rehabilitation, Sports Medicine | 2081S0010X | 34.002093 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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