Individual provider Active NPI

Gwendolyn Kost, PT

  • Physical Therapist
  • Mayfield Village, OH
National Provider Identifier
1265408918
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-11364 Issued in OH
Practice address
731 Beta Dr
Mayfield Village, OH 44143-2366
Phone
(440) 461-2006
Fax
(440) 461-2009
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-11364 OH Primary

Addresses

Primary practice location

731 Beta Dr
Mayfield Village, OH 44143-2366

Mailing address

23825 Commerce Park
Suite B
Beachwood, OH 44122-5837
Phone (216) 292-6363

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100518000324 OH Practitioner - Physical Therapist in Private Practice 9739217423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardinal Physical Therapy and Rehabilitation LLCGroup PAC ID 2961660816, 4 clinicians

Practice addresses (Care Compare)

12652 W Geauga PLZ
Suite 1
Chesterland, OH 44026-2556
Phone (440) 688-4186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-11364OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cardinal Physical Therapy and Rehabilitation, LLC Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
J&K Pain Management Company LLC Past Accepting new patients
Novacare Rehabilitation of Ohio Inc Past Accepting new patients
Novacare Rehabilitation of Ohio, Inc. Physical Therapist Past Accepting new patients

Locations

12656 W Geauga Plz
Chesterland, OH 44026
Phone (216) 288-6957

12652 W Geauga Plz
Ste 1
Chesterland, OH 44026
Phone (440) 688-4186

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256256000000",
    "number": "1265408918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23825 COMMERCE PARK",
            "address_2": "SUITE B",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225837",
            "telephone_number": "216-292-6363",
            "fax_number": "216-292-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 BETA DR",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441432366",
            "telephone_number": "440-461-2006",
            "fax_number": "440-461-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOST",
        "first_name": "GWENDOLYN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2009-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-11364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Village, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.