Individual provider Active NPI

Janene Mazanec, PT, DPT

  • Physical Therapist
  • Cleveland, OH
National Provider Identifier
1083039770
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2003 Issued in OH
Practice address
1440 Lakeside Ave E
Office of Related Services
Cleveland, OH 44114-1137
Phone
(216) 592-7237
NPI assigned
Mar 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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 2003 OH Primary

Addresses

Primary practice location

1440 Lakeside Ave E
Office of Related Services
Cleveland, OH 44114-1137

Mailing address

1440 Lakeside Ave E
Office of Related Services
Cleveland, OH 44114-1137
Phone (216) 592-7237

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2003OHMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1083039770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 LAKESIDE AVE E",
            "address_2": "OFFICE OF RELATED SERVICES",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441141137",
            "telephone_number": "216-592-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 LAKESIDE AVE E",
            "address_2": "OFFICE OF RELATED SERVICES",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441141137",
            "telephone_number": "216-592-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZANEC",
        "first_name": "JANENE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "2003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.