Individual provider Active NPI

Inna Keselman, MPT DCS

  • Occupational Therapist
  • Beachwood, OH
National Provider Identifier
1174578090
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT05334 Issued in OH
Practice address
27600 Chagrin Blvd
Suite 190
Beachwood, OH 44122
Phone
(216) 464-8460
Fax
(216) 360-8768
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT10413 OH
Occupational Therapist 225X00000X OT05334 OH Primary

Addresses

Primary practice location

27600 Chagrin Blvd
Suite 190
Beachwood, OH 44122

Mailing address

23302 E Baintree Rd
Beachwood, OH 44122
Phone (216) 382-5094

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051013000468 OH Practitioner - Physical Therapist in Private Practice 7012908775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Specialists IncGroup PAC ID 6507052339, 3 clinicians

Practice addresses (Care Compare)

27600 Chagrin Blvd
Suite 190
Beachwood, OH 44122-4421
Phone (216) 464-8460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT10413OHMDPhysical Therapist
OT05334OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Specialists Inc Physical Therapist CurrentSince Aug 30, 2010 Accepting new patients
Millennium Rehabilitation- a Physical Therapy and Sports Medicine Ctr Past Accepting new patients
Rehabilitation and Health Center, Inc Physical Therapist PastSince Aug 30, 2010 Accepting new patients
Rehabilitation and Health Center Inc Physical Therapist Past Accepting new patients

Locations

27600 Chagrin Blvd
Ste 190
Beachwood, OH 44122
Phone (216) 464-8460

Organizations & group practices 4

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1174578090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23302 E BAINTREE RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-382-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27600 CHAGRIN BLVD",
            "address_2": "SUITE 190",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-464-8460",
            "fax_number": "216-360-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESELMAN",
        "first_name": "INNA",
        "credential": "MPT DCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT10413",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT05334",
            "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 Apr 25, 2008; 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.