Active NPI
Jonathan Gliebe
- Orthopedic Physical Therapist
- Fairlawn, OH
National Provider Identifier
1730927393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT018389
- Practice address
- 3975 Embassy Pkwy Ste 103
Fairlawn, OH 44333-8344 - Phone
- (330) 670-4141
- NPI assigned
- Jul 17, 2024
- Last updated
- Jul 17, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT018389 | OH | Primary |
Addresses
Primary practice location
3975 Embassy Pkwy Ste 103
Fairlawn, OH 44333-8344
Mailing address
16867 Walnut Creek Dr
Strongsville, OH 44149-5749
Phone (216) 212-4036
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 |
|---|---|---|---|
| PT018389 | OH | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1730927393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16867 WALNUT CREEK DR",
"city": "STRONGSVILLE",
"state": "OH",
"postal_code": "441495749",
"telephone_number": "216-212-4036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3975 EMBASSY PKWY STE 103",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443338344",
"telephone_number": "330-670-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLIEBE",
"first_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-17",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "OH",
"license": "PT018389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.