Mohican Sport Medicine and Rehab – Physical Therapist, NPI 1104909217

Mohican Sport Medicine and Rehab is a healthcare provider. based in Mount vernon, Ohio. specializing in Physical Therapist. The NPI Number for Mohican Sport Medicine and Rehab is 1104909217

Main info

Organization
Name
Mohican Sport Medicine and Rehab
NPI
1104909217
Phone
(740) 392-8811
Address
112 HARCOURT RD
Authorized Official
ROBERT TIELL PARTNER
Enumeration Date
23 October 2006
Last Update Date
11 September 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Mohican Sport Medicine and Rehab

  • 112, Harcourt Road, Mount Vernon, Clinton Township, Knox County, Ohio, 43050, United States

    SUITE 1

    MOUNT VERNON, OH 430503946

    Phone: (740) 392-8811

    Fax: (740) 392-6485

    Type: Mailing

  • 351, South Lane Street, Bucyrus Commercial Historical District, Bucyrus, Crawford County, Ohio, 44820, United States

    SUITE 1

    BUCYRUS, OH 448202319

    Phone: (419) 562-6686

    Fax: (419) 562-6625

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43050)

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Reviews

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Frequently asked questions

Where can patients find Mohican Sport Medicine and Rehab's NPI?
You can confirm Mohican Sport Medicine and Rehab with NPI 1104909217; it appears in the national provider directory.
Does this profile mean Mohican Sport Medicine and Rehab is currently active?
Yes — Mohican Sport Medicine and Rehab appears active in the national provider directory.
What does Mohican Sport Medicine and Rehab treat or focus on?
Patients typically see Mohican Sport Medicine and Rehab under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Does Mohican Sport Medicine and Rehab practice in Ohio?
You will see Mount Vernon, Ohio on file for Mohican Sport Medicine and Rehab alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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