Individual provider Active NPI

Suzanne Kellagher, PHYSICAL THERAPIST

  • Physical Therapist
  • Cincinnati, OH
National Provider Identifier
1659693281
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4840 Issued in OH
Practice address
8650 Governors Hill Dr
Ste 180
Cincinnati, OH 45249-1372
Phone
(513) 791-5766
Fax
(877) 794-3289
NPI assigned
Feb 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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 PT4840 OH Primary

Addresses

Primary practice location

8650 Governors Hill Dr
Ste 180
Cincinnati, OH 45249-1372

Mailing address

8650 Governors Hill Dr
Ste 180
Cincinnati, OH 45249-1372
Phone (513) 791-5766

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT4840OHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1659693281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8650 GOVERNORS HILL DR",
            "address_2": "STE 180",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452491372",
            "telephone_number": "513-791-5766",
            "fax_number": "877-794-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 GOVERNORS HILL DR",
            "address_2": "STE 180",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452491372",
            "telephone_number": "513-791-5766",
            "fax_number": "877-794-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLAGHER",
        "first_name": "SUZANNE",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT4840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 24, 2010; 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.