Active NPI
Linda N Imondi, OTR
- Occupational Therapist
- Painesville, OH
National Provider Identifier
1316962400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 05396
- Practice address
- 10466 Prouty Rd
Painesville, OH 44077-2205 - Phone
- (440) 352-2131
- NPI assigned
- Jul 12, 2006
- Last updated
- Oct 17, 2007
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 05396 | OH | Primary |
Addresses
Primary practice location
10466 Prouty Rd
Painesville, OH 44077-2205
Mailing address
10466 Prouty Rd
Painesville, OH 44077-2205
Phone (440) 352-2131
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 05396 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Therapy Dynamics, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Willoughby, OH
- NPI 1740288919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1316962400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10466 PROUTY RD",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "440772205",
"telephone_number": "440-352-2131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10466 PROUTY RD",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "440772205",
"telephone_number": "440-352-2131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMONDI",
"first_name": "LINDA",
"middle_name": "N",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT 05396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Painesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.