Active NPI
Gwendolyn Kost, PT
- Physical Therapist
- Mayfield Village, OH
National Provider Identifier
1265408918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-11364
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT-11364 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardinal Physical Therapy and Rehabilitation, LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Chesterland, OH
- NPI 1427326644
-
- Specialist
- Mentor, OH
- NPI 1902976699
-
- Physical Therapy Clinic/Center
- Beechwood, OH
- NPI 1740447895
-
- Physical Therapy Clinic/Center
- Alliance, OH
- NPI 1952970824
Physical Therapist
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.