Active NPI
Laura Edelstein Mendelson, P.T.
- Physical Therapist
- Cincinnati, OH
National Provider Identifier
1578601647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 02920
- Practice address
- 11992 Barneswood CT
Cincinnati, OH 45249-1301 - Phone
- (513) 884-4664
- Fax
- (513) 489-1266
- NPI assigned
- Feb 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 02920 | OH | Primary |
Addresses
Primary practice location
11992 Barneswood CT
Cincinnati, OH 45249-1301
Mailing address
11992 Barneswood CT
Cincinnati, OH 45249-1301
Phone (513) 884-4664
Other names 1
- Edelstein Physical Therapy
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 |
|---|---|---|---|
| 02920 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386633600000",
"number": "1578601647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11992 BARNESWOOD CT",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452491301",
"telephone_number": "513-884-4664",
"fax_number": "513-489-1266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11992 BARNESWOOD CT",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452491301",
"telephone_number": "513-884-4664",
"fax_number": "513-489-1266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDELSON",
"first_name": "LAURA",
"middle_name": "EDELSTEIN",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2013-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "02920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EDELSTEIN",
"last_name": "THERAPY",
"middle_name": "PHYSICAL",
"credential": "LLC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.