Individual provider Active NPI

Elise Bixenstine

  • Physical Therapist
  • Brecksville, OH
National Provider Identifier
1003494725
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT019070 Issued in OH
Practice address
6960 S Edgerton Rd
Brecksville, OH 44141-3184
Phone
(440) 241-8366
NPI assigned
Apr 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT019070 OH Primary

Addresses

Primary practice location

6960 S Edgerton Rd
Brecksville, OH 44141-3184

Mailing address

5900 Father Caruso Dr Apt 4103
Cleveland, OH 44102-1003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11592SCMDPharmacist
PT019070OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reaching New Heights, LLC CurrentSince Oct 9, 2022 Accepting new patients

Locations

6960 S Edgerton Rd
Brecksville, OH 44141
Phone (440) 241-8366

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1003494725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 FATHER CARUSO DR APT 4103",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441021003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6960 S EDGERTON RD",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413184",
            "telephone_number": "440-241-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIXENSTINE",
        "first_name": "ELISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brecksville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.