Jennifer Desantis, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT. 014850 Issued in OH

Practice address

23400 Mercantile Rd Ste 2
Beachwood, OH 44122-5948

Phone

(440) 391-0117

NPI assigned

Jun 3, 2014

Last updated

Jun 15, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genuine Rehabilitation and Wellness, LLC

  • Physical Therapist
  • Beachwood, OH
  • NPI 1841815941
  Authorized official Same address or phone

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1528471034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 OAK RIDGE DR",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440943139",
            "telephone_number": "440-391-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23400 MERCANTILE RD STE 2",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225948",
            "telephone_number": "440-391-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESANTIS",
        "first_name": "JENNIFER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT. 014850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee N Demaria, LPCC
• Melissa Dempsey, RD, LD
• Anna K Dendy, PHD
• Department of Veterans Affairs
• Alexis Kali Depasquale
• Douglas E Desatnik, DDS
• Abdelazeem Hazem Desoky, DDS
• Maria Desrosiers, DPT
• Esther Dessler, OTR/L
• Christine Dessoffy

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.