Individual provider Active NPI

Laurene Ann Sweet, PT, DPT, MED

  • Pediatric Physical Therapist
  • Willoughby, OH
National Provider Identifier
1235326430
Registry record updated Jul 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PT-6498 Issued in OH
Practice address
36495 Vine St Ste L
Willoughby, OH 44094-6347
Phone
(440) 525-2792
Fax
(866) 560-2975
NPI assigned
Oct 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2023

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 PT-06498 OH
Pediatric Physical Therapist 2251P0200X PT-6498 OH Primary

Addresses

Primary practice location

36495 Vine St Ste L
Willoughby, OH 44094-6347

Mailing address

135 E 280TH St
Euclid, OH 44132-1306
Phone (216) 571-6234

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
PT-06498OHMDPhysical Therapist
PT-6498OHMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Sweet Physical Therapy & Wellness, LLC CurrentSince Dec 6, 2022 Accepting new patients
Activecare PT Inc. Physical Therapist PastSince Apr 23, 2023 Accepting new patients

Locations

36495 Vine St
Ste L
Willoughby, OH 44094
Phone (440) 525-2792

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": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688774400000",
    "number": "1235326430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E 280TH ST",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441321306",
            "telephone_number": "216-571-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36495 VINE ST STE L",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440946347",
            "telephone_number": "440-525-2792",
            "fax_number": "866-560-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEET",
        "first_name": "LAURENE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, MED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2023-07-08",
        "certification_date": "2023-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-06498",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "OH",
            "license": "PT-6498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.