Individual provider Active NPI

Lynne Scherr Meredith, MPT

  • Orthopedic Physical Therapist
  • Beachwood, OH
National Provider Identifier
1174563001
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
011416 Issued in OH
Practice address
23811 Chagrin Blvd.
Suite 120
Beachwood, OH 44122-5555
Phone
(216) 682-0413
Fax
(216) 682-0417
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 011416 OH Primary

Addresses

Primary practice location

23811 Chagrin Blvd.
Suite 120
Beachwood, OH 44122-5555

Mailing address

8247 Valley Dr
Suite 120
Chagrin Falls, OH 44023-4607
Phone (440) 409-9622

Other identifiers 3

IdentifierTypeStateIssuer
2721406MedicaidOH
341907722OtherOHUNITED HEALTHCARE
34190772200OtherOHWORKERS COMPENSATION

Other names 1

  • Lynne Meredith Mitchell Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061213000187 OH Practitioner - Physical Therapist in Private Practice 5799777439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7170 Chagrin Rd
Chagrin Falls, OH 44023-1100
Phone (440) 409-9622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011416OHMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chagrin Valley Chiropractic and Acupuncture Center, LLC PastSince Sep 22, 2016 Accepting new patients

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1174563001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8247 VALLEY DR",
            "address_2": "SUITE 120",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234607",
            "telephone_number": "440-409-9622",
            "fax_number": "440-591-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23811 CHAGRIN BLVD.",
            "address_2": "SUITE 120",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225555",
            "telephone_number": "216-682-0413",
            "fax_number": "216-682-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHERR MEREDITH",
        "first_name": "LYNNE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "011416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2721406",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "341907722",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "34190772200",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNNE",
            "last_name": "MITCHELL",
            "middle_name": "MEREDITH",
            "credential": "MPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 22, 2016; 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.