Individual provider Active NPI

Maria Mepham, PT

  • Neurology Physical Therapist
  • Lakewood, OH
National Provider Identifier
1336566108
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
006256 Issued in OH
Practice address
14519 Detroit Ave
First Floor - Rehab Services
Lakewood, OH 44107-4316
Phone
(216) 227-2474
Fax
(216) 529-7262
NPI assigned
Mar 18, 2014
Last updated
Mar 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 006256 OH Primary

Addresses

Primary practice location

14519 Detroit Ave
First Floor - Rehab Services
Lakewood, OH 44107-4316

Mailing address

14519 Detroit Ave
First Floor - Rehab Services
Lakewood, OH 44107-4316

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

LicenseStateTypeSpecialty
006256OHMDNeurology Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1336566108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14519 DETROIT AVE",
            "address_2": "FIRST FLOOR - REHAB SERVICES",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14519 DETROIT AVE",
            "address_2": "FIRST FLOOR - REHAB SERVICES",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074316",
            "telephone_number": "216-227-2474",
            "fax_number": "216-529-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEPHAM",
        "first_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "OH",
            "license": "006256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.