Mary A Goldstein, PT
Individual provider Active NPI Physical Therapist · Chesterland, OH
NPI 1225306459 · NPPES record last updated Dec 2, 2011
Key facts
- NPI
- 1225306459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 003844 (OH)
- Practice address
- 12656 W Geauga PLZ
Chesterland, OH 44026-2505 - Phone
- (216) 288-6957
- Fax
- (440) 760-4006
- NPI assigned
- Dec 2, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003844 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardinal Physical Therapy and Rehabilitation, LLC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 003844 | OH | Yes |
Addresses
Primary practice location
12656 W Geauga PLZ
Chesterland, OH 44026-2505
Mailing address
12656 W Geauga PLZ
Chesterland, OH 44026-2505
Phone (216) 288-6957
Other providers in Chesterland, OH
- Geauga Health Services, Inc.
- Anne Gentile
- Catherine Adelaide George Parisi
- Lisa Goldberg
- Nellie Goldberg
- Brenda H Goodman
- Tracey Tram Grabinski
- G. Garth Grant
- Marissa Anne Hadney
- Jared Hammond
All providers in Chesterland, OH · Physical Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.