Jeri R Straub, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA3454 Issued in OH

Practice address

1069 US Highway 224
Nova, OH 44859-9770

Phone

(419) 652-2219

Fax

(419) 652-2219

NPI assigned

Mar 18, 2008

Last updated

Mar 18, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Erie Shores Rehabilitation, LLC

  • Speech-Language Pathologist
  • Nova, OH
  • NPI 1083832539
  NPD (past)

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1164693123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 N BUCKEYE ST",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448111433",
            "telephone_number": "419-483-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 US HIGHWAY 224",
            "city": "NOVA",
            "state": "OH",
            "postal_code": "448599770",
            "telephone_number": "419-652-2219",
            "fax_number": "419-652-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUB",
        "first_name": "JERI",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA3454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Lynn Paramote, LPN
• Cathy Ann Pummell
• Lisa L Shehan, LSW
• Martha Siegel, OTR/L
• Hannah Naomi Moriah Simcox, CBD

• Physical Therapy Assistant in Nova, OH
• Providers in Nova, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.