Individual provider Active NPI

Thomas Edward Edgehouse, DPT

  • Physical Therapist
  • Lyndhurst, OH
National Provider Identifier
1083097018
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
015056 Issued in OH
Practice address
1575 Brainard Rd
Lyndhurst, OH 44124-3096
Phone
(440) 684-6659
NPI assigned
Jul 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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 015056 OH Primary

Addresses

Primary practice location

1575 Brainard Rd
Lyndhurst, OH 44124-3096

Mailing address

1575 Brainard Rd
Lyndhurst, OH 44124-3096
Phone (440) 684-6659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230306002360 NY Practitioner - Physical Therapist in Private Practice 6507239902
I20250128001166 OH Practitioner - Physical Therapist in Private Practice 6507239902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHC Physical Therapy IncGroup PAC ID 3476636846, 5 clinicians

Practice addresses (Care Compare)

20370 Lorain Rd
Fairview Park, OH 44126-3411
Phone (440) 356-3213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043098NYMDPharmacist
015056OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
CHC Physical Therapy, Inc. Physical Therapist CurrentSince Dec 2, 2024 Accepting new patients
Brian Mayrsohn MD PLLC PastSince Jan 1, 2023 Accepting new patients

Locations

20370 Lorain Rd
Fairview Park, OH 44126
Phone (440) 356-3213

Organizations & group practices 2

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": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1083097018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 BRAINARD RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441243096",
            "telephone_number": "440-684-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 BRAINARD RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441243096",
            "telephone_number": "440-684-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGEHOUSE",
        "first_name": "THOMAS",
        "middle_name": "EDWARD",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "015056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.