Individual provider Active NPI

Jessica Lynn Bendele, PT, DPT

  • Physical Therapist
  • Beachwood, OH
National Provider Identifier
1356783948
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT.014386 Issued in OH
Practice address
23811 Chagrin Blvd
Suite 120
Beachwood, OH 44122-5525
Phone
(216) 682-0413
Fax
(216) 862-0417
NPI assigned
Jul 23, 2013
Last updated
Jun 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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.014386 OH Primary

Addresses

Primary practice location

23811 Chagrin Blvd
Suite 120
Beachwood, OH 44122-5525

Mailing address

23811 Chagrin Blvd
Suite 120
Beachwood, OH 44122-5525
Phone (216) 682-0413

Other names 1

  • Jessica Lynn Brinkman Former name

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

LicenseStateTypeSpecialty
PT.014386OHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433894400000",
    "number": "1356783948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23811 CHAGRIN BLVD",
            "address_2": "SUITE 120",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225525",
            "telephone_number": "216-682-0413",
            "fax_number": "216-862-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23811 CHAGRIN BLVD",
            "address_2": "SUITE 120",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225525",
            "telephone_number": "216-682-0413",
            "fax_number": "216-862-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDELE",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2015-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.014386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BRINKMAN",
            "middle_name": "LYNN",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.