Faith Blau, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT10245 Issued in OH

Practice address

6001 Landerhaven Drive
Suite # A1
Mayfield Heights, OH 44124

Phone

(440) 449-3400

NPI assigned

Feb 3, 2009

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 identifiers 1

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": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1629216387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23175 COMMERCE PARK",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225806",
            "telephone_number": "440-449-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 LANDERHAVEN DRIVE",
            "address_2": "SUITE # A1",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "44124",
            "telephone_number": "440-449-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAU",
        "first_name": "FAITH",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-03",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT10245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2988325",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• BHC Services, Inc.
• Nandhini Bindukumari Sureshkumar, MD
• Adrienne Birnbaum, RPH
• Jorden Deneil Blakely, OWNER
• Daniel Blatnik
• Heidi Blecick, MS, RDN, LD
• Michelle D Boclear, LSW
• Christina Bona, FNP-C
• Carrie Bottiggi, CNP
• Elizabeth B Bowe, CNS

• Physical Therapist in Mayfield Heights, OH
• Providers in Mayfield Heights, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.