Active NPI
James Michael Mehalik, PT
- Physical Therapist
- Cleveland, OH
National Provider Identifier
1285789784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT4780
- Practice address
- 1730 W 25TH St
Cleveland, OH 44113-3108 - Phone
- (216) 363-2177
- Fax
- (216) 696-7485
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT4780 | OH | Primary |
| Physical Therapist | 225100000X | PT20016 | FL |
Addresses
Primary practice location
1730 W 25TH St
Cleveland, OH 44113-3108
Mailing address
4731 Baywood Dr
Brunswick, OH 44212-2071
Phone (330) 273-3193
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT20016 | FL | MD | Physical Therapist |
| PT4780 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285789784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4731 BAYWOOD DR",
"city": "BRUNSWICK",
"state": "OH",
"postal_code": "442122071",
"telephone_number": "330-273-3193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 W 25TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441133108",
"telephone_number": "216-363-2177",
"fax_number": "216-696-7485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHALIK",
"first_name": "JAMES",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT4780",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT20016",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.