Organization Active NPI

Lighthouse Pediatric Pelvic Health, LLC

Doing business as Lighthouse Pediatric Physical Thearpy

  • Physical Therapy Clinic/Center
  • Cincinnati, OH
National Provider Identifier
1063267789
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LIGHTHOUSE PEDIATRIC PELVIC HEALTH, LLC
Doing business as
Lighthouse Pediatric Physical Thearpy
Practice address
2702 Erie Ave Ste 306
Cincinnati, OH 45208-2109
Phone
(513) 332-7243
NPI assigned
Apr 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Dr. Sarah Fox, DPTNPI 1992278774
Title
President/Cep
Phone
(513) 332-7243

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2702 Erie Ave Ste 306
Cincinnati, OH 45208-2109

Mailing address

2702 Erie Ave Ste 306
Cincinnati, OH 45208-2109
Phone (513) 332-7243

Other names 1

  • Lighthouse Pediatric Physical Thearpy Doing business as

National Provider Directory

National Provider Directory

Locations

2702 Erie Ave
Ste 306
Cincinnati, OH 45208
Phone (513) 332-7243

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1063267789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 ERIE AVE STE 306",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452082109",
            "telephone_number": "513-332-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 ERIE AVE STE 306",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452082109",
            "telephone_number": "513-332-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE PEDIATRIC PELVIC HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PRESIDENT/CEP",
        "authorized_official_telephone_number": "513-332-7243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Pediatric Physical Thearpy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.