Individual provider Active NPI

Darcy Kosmerl, P.T.

  • Physical Therapist
  • Cleveland, OH
National Provider Identifier
1366994402
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6885 Issued in OH
Practice address
4229 Pearl Rd
Cleveland, OH 44109-4218
Phone
(216) 957-3103
Fax
(216) 957-2041
NPI assigned
Oct 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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 6885 OH Primary

Addresses

Primary practice location

4229 Pearl Rd
Cleveland, OH 44109-4218

Mailing address

4229 Pearl Rd
Cleveland, OH 44109-4218
Phone (216) 957-3103

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
6885OHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1366994402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 PEARL RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441094218",
            "telephone_number": "216-957-3103",
            "fax_number": "216-957-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 PEARL RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441094218",
            "telephone_number": "216-957-3103",
            "fax_number": "216-957-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSMERL",
        "first_name": "DARCY",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "6885",
            "primary": true
        }
    ],
    "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 Oct 25, 2016; 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.