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Western Reserve Professional Group Inc

Pain Medicine (Physical Medicine & Rehabilitation) Physician in Kent, OH · enumerated 2007 · authorized official Rachelle Light, Office Coordinator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1699986620

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Western Reserve Professional Group Inc
Other name <Unavail>
Practice address 307 West Main Street, Suite C, Kent, OH, 44240
Fax (330) 677-4931
Enumeration date May 24, 2007
Last updated in NPPES Jan 15, 2014

Taxonomy & classification

111NX0800X Orthopedic Chiropractor Chiropractic Providers Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Secondary
2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians Primary
208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

Authorized official

Name Rachelle Light
Title Office Coordinator

Other identifiers

Identifier Type State Issuer
0251070 Medicaid OH -
2406275 Medicaid OH -
2675921 Medicaid OH -
0926887 Medicaid OH -
2082866 Medicaid OH -
4085673 Medicaid OH -
2311331 Medicaid OH -
2493038 Medicaid OH -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Western Reserve Professional Group Inc located?
The practice location on file with NPPES is in Kent, OH.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-01-15. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-01-15.