Individual provider Active NPI

Kathryn M Mysko, DPT

  • Physical Therapist
  • Beachwood, OH
National Provider Identifier
1114202488
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013502 Issued in OH
Practice address
24400 Highpoint Rd
Suite 10
Beachwood, OH 44122-6054
Phone
(216) 896-0824
NPI assigned
Oct 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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 PT013502 OH Primary

Addresses

Primary practice location

24400 Highpoint Rd
Suite 10
Beachwood, OH 44122-6054

Mailing address

24400 Highpoint Rd
Suite 10
Beachwood, OH 44122-6054
Phone (216) 896-0824

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

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1114202488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24400 HIGHPOINT RD",
            "address_2": "SUITE 10",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441226054",
            "telephone_number": "216-896-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24400 HIGHPOINT RD",
            "address_2": "SUITE 10",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441226054",
            "telephone_number": "216-896-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYSKO",
        "first_name": "KATHRYN",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT013502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.