Jeannette Louise Ciolino, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501003688 Issued in MI

Practice address

23852 Michigan Ave
Dearborn, MI 48124-1829

Phone

(313) 565-4222

Fax

(313) 565-8703

NPI assigned

Jul 24, 2008

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 names 1

• Jeannette Louise Mentzer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• The Training Room of Trenton LLC

  • Physical Therapist
  • Trenton, MI
  • NPI 1851459085
  NPD (past)

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1669637054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23852 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241829",
            "telephone_number": "313-565-4222",
            "fax_number": "313-565-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23852 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241829",
            "telephone_number": "313-565-4222",
            "fax_number": "313-565-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIOLINO",
        "first_name": "JEANNETTE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501003688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNETTE",
            "last_name": "MENTZER",
            "middle_name": "LOUISE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard Cieslak, MD
• Amanda Provost Cimino, DO
• Anthony Charles Cimino, DPT
• Kyle Cinkowski
• Christel G Ciolino
• Shena Cisero
• Citizen Physical Therapy PLC
• City Clinic LLC
• City of Dearborn
• City of Dearborn

• Physical Therapist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.