Active NPI
Elena Goleb, LPTA
- Physical Therapy Assistant
- Mantua, OH
National Provider Identifier
1700294642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA 07874
- Practice address
- 9772 Diagonal Rd
Mantua, OH 44255-9128 - Phone
- (800) 233-8611
- Fax
- (330) 732-2543
- NPI assigned
- Jul 23, 2014
- Last updated
- Jul 23, 2014
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | PTA 07874 | OH | Primary |
Addresses
Primary practice location
9772 Diagonal Rd
Mantua, OH 44255-9128
Mailing address
9772 Diagonal Rd
Mantua, OH 44255-9128
Phone (800) 233-8611
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA 07874 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406073600000",
"number": "1700294642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9772 DIAGONAL RD",
"city": "MANTUA",
"state": "OH",
"postal_code": "442559128",
"telephone_number": "800-233-8611",
"fax_number": "330-732-2543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9772 DIAGONAL RD",
"city": "MANTUA",
"state": "OH",
"postal_code": "442559128",
"telephone_number": "800-233-8611",
"fax_number": "330-732-2543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLEB",
"first_name": "ELENA",
"name_prefix": "Mrs.",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-23",
"last_updated": "2014-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "PTA 07874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mantua, OH
- Epicene Psychological LLC
- Denise Eslinger, LPCC-S, LSW, NCSP
- Sarah Elizabeth Farrance, OTD, OTR/L
- Mackenzie Gallagher, OTR/L
- Caitlin Goggin, PT, DPT
- Nichole N Grande, M.S. OTR/L
- Hattie Larlham Center for Children With Disabilities
- Hattie Larlham Center for Children With Disablilites
- Hattie Larlham Center for Children With Disablilites
- Hattie Larlham Center for Children With Disablilites
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.