Jennifer Marie Nieset, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 008742 Issued in OH

Practice address

8836 Tyler Blvd
Mentor, OH 44060-4361

Phone

(440) 255-9553

Fax

(440) 255-9563

NPI assigned

Jun 13, 2007

Last updated

Jun 19, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fit 4 Life Physical Therapy

  • Physical Therapy Clinic/Center
  • Concord TWP, OH
  • NPI 1942813829
  NPD Authorized official
• Michael M Supler & Associates Inc

  dba University Suburban Physical Therapy University Suburban Sports Medici

  • Physical Therapist
  • South Euclid, OH
  • NPI 1467555482
  NPD (past)
• Universal Therapy Dynamics, Inc

  • Physical Therapy Clinic/Center
  • Willoughby, OH
  • NPI 1740288919
  NPD (past)

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1245434307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8836 TYLER BLVD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604361",
            "telephone_number": "440-255-9553",
            "fax_number": "440-255-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8836 TYLER BLVD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604361",
            "telephone_number": "440-255-9553",
            "fax_number": "440-255-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIESET",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT 008742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Eliabeth Nichols, M.D.
• Katina Nichols
• Robert J Nickodem Jr., M.D.
• Alexis Rose Nicoson, PHARMD
• Lana M. Niebuhr, QMHS
• Omar Nijim, RN
• Anthony J. Niksa, LICDC-CS, PC-CR
• Danielle Michelle Ninic, M.A. CCC-SLP
• Nnennaya Odide Nkemere, NP
• No Limits 4 Life Inc

• Physical Therapist in Mentor, OH
• Providers in Mentor, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.