Individual provider Active NPI

Loretta Michelle West, PT

  • Physical Therapist
  • Beachwood, OH
National Provider Identifier
1598821985
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 9924 Issued in OH
Practice address
3355 Richmond Rd
Suite 101-a
Beachwood, OH 44122-4100
Phone
(216) 593-7070
Fax
(216) 593-7074
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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 PT 9924 OH Primary

Addresses

Primary practice location

3355 Richmond Rd
Suite 101-a
Beachwood, OH 44122-4100

Mailing address

PO Box 22450
Beachwood, OH 44122-0450
Phone (216) 233-4298

Other identifiers 1

IdentifierTypeStateIssuer
2452699MedicaidOH

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

LicenseStateTypeSpecialty
PT 9924OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Manual Physical Therapy & Fitness LLC Physical Therapist Current Accepting new patients
Sports and Spine Physical Therapy Inc Physical Therapist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1598821985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22450",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441220450",
            "telephone_number": "216-233-4298",
            "fax_number": "216-593-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 RICHMOND RD",
            "address_2": "SUITE 101-A",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224100",
            "telephone_number": "216-593-7070",
            "fax_number": "216-593-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "LORETTA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT 9924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2452699",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.