Active NPI
Kelly Christine Fieseler, MPT
- Orthopedic Physical Therapist
- Shaker Heights, OH
National Provider Identifier
1497793293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT9611
- Practice address
- 23580 Shaker Blvd
Shaker Heights, OH 44122-2605 - Phone
- (216) 491-8407
- NPI assigned
- Jun 3, 2006
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT9611 | OH | Primary |
Addresses
Primary practice location
23580 Shaker Blvd
Shaker Heights, OH 44122-2605
Mailing address
23580 Shaker Blvd
Shaker Heights, OH 44122-2605
Phone (216) 491-8407
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34190772200 | Other | OH | WORKERS COMPENSATION |
| 341907722 | Other | OH | UNITED HEALTHCARE |
| 2382505 | Medicaid | OH | |
| 000000247980 | Other | OH | ANTHEM |
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 |
|---|---|---|---|
| PT9611 | OH | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sternen Physical Therapy Inc | Orthopedic | 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 and National Provider Directory roles.
-
- Orthopedic Physical Therapist
- Beachwood, OH
- NPI 1760420566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434067200000",
"number": "1497793293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23580 SHAKER BLVD",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441222605",
"telephone_number": "216-491-8407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23580 SHAKER BLVD",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441222605",
"telephone_number": "216-491-8407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIESELER",
"first_name": "KELLY",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2015-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "OH",
"license": "PT9611",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION",
"identifier": "34190772200",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "341907722",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2382505",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000247980",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shaker Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.