Individual provider Active NPI

Lauren E Mathot, PT, DPT, CBIS

  • Geriatric Physical Therapist
  • Waynesville, OH
National Provider Identifier
1225735822
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
PT011828 Issued in OH
Practice address
1816 Grand Cypress Blvd
Waynesville, OH 45068-9805
Phone
(216) 534-8201
NPI assigned
Feb 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT011828 OH
Neurology Physical Therapist 2251N0400X PT011828 OH
Geriatric Physical Therapist 2251G0304X PT011828 OH Primary

Addresses

Primary practice location

1816 Grand Cypress Blvd
Waynesville, OH 45068-9805

Mailing address

1816 Grand Cypress Blvd
Waynesville, OH 45068-9805
Phone (216) 534-8201

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

State licenses

LicenseStateTypeSpecialty
PT011828OHMDNeurology Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1225735822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 GRAND CYPRESS BLVD",
            "city": "WAYNESVILLE",
            "state": "OH",
            "postal_code": "450689805",
            "telephone_number": "216-534-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 GRAND CYPRESS BLVD",
            "city": "WAYNESVILLE",
            "state": "OH",
            "postal_code": "450689805",
            "telephone_number": "216-534-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHOT",
        "first_name": "LAUREN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CBIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT011828",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "OH",
            "license": "PT011828",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "OH",
            "license": "PT011828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.