Unknown Individual – Physical Medicine & Rehabilitation Physician, NPI 1417919978

Unknown Individual is a healthcare provider. based in Youngstown, Ohio. specializing in Physical Medicine & Rehabilitation Physician. They hold a License No. 35037104 (OH). The NPI Number for Unknown Individual is 1417919978

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1417919978
Phone
(330) 629-2726
Address
725 BOARDMAN CANFIELD RD
Deactivation Date
20 April 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Youngstown Orthopaedic Associates Building B, 1499, Boardman Canfield Road, Creekside Place, Youngstown, Mahoning County, Ohio, 44512, United States

    BUILDING A SUITE 2

    YOUNGSTOWN, OH 445124380

    Phone: (330) 629-2726

    Fax: (330) 629-9927

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

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

Insurance plans in this area (ZIP 44512)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1417919978.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Youngstown, Ohio.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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