Active NPI
Elaine Marie Breiner, PT
- Physical Therapist
- Lakewood, OH
National Provider Identifier
1720408248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 06242
- Practice address
- 16915 Detroit Ave
Lakewood, OH 44107-3620 - Phone
- (216) 227-2610
- Fax
- (216) 227-2614
- NPI assigned
- Apr 23, 2014
- Last updated
- Apr 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 Therapist | 225100000X | 06242 | OH | Primary |
Addresses
Primary practice location
16915 Detroit Ave
Lakewood, OH 44107-3620
Mailing address
16915 Detroit Ave
Lakewood, OH 44107-3620
Phone (216) 227-2610
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 |
|---|---|---|---|
| 06242 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakewood Hospital Association | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398211200000",
"number": "1720408248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16915 DETROIT AVE",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441073620",
"telephone_number": "216-227-2610",
"fax_number": "216-227-2614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16915 DETROIT AVE",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441073620",
"telephone_number": "216-227-2610",
"fax_number": "216-227-2614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREINER",
"first_name": "ELAINE",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-23",
"last_updated": "2014-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "06242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.