Kelly Runkel, PT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

7054 Issued in OH

Practice address

27100 Cedar Rd
Beachwood, OH 44122-1109

Phone

(216) 839-6649

NPI assigned

Mar 4, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly McNeal Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1437784154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27100 CEDAR RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221109",
            "telephone_number": "440-376-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27100 CEDAR RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221109",
            "telephone_number": "216-839-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNKEL",
        "first_name": "KELLY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "OH",
            "license": "7054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MCNEAL",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mary Jane Rudowsky, CNP
• Kearney Ruffin
• Lapetha Monek Ruffin, LPN
• Tory Ruffin
• Marco Antonio Ruiz Jimenez
• Jessie Ann Rupp, PHARMD, MS
• Christopher C Rupprecht, PA-C
• Tiffany Candyce Rush-Wilson, PH.D.
• George Rushing
• Mari Russell

• Geriatric Physical Therapist in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Geriatric Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.