Elizabeth Prendergast, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT018471 Issued in OH

Practice address

3364 Kolbe Rd
Lorain, OH 44053-1628

Phone

(440) 282-2244

NPI assigned

Mar 9, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Legacy Healthcare Services Inc

  • Physical Therapist
  • West Chester, OH
  • NPI 1174153266
  NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489
  NPD

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1740937697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 CORTLAND LN",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441473605",
            "telephone_number": "216-201-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3364 KOLBE RD",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531628",
            "telephone_number": "440-282-2244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27569 Detroit Rd",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "441452200",
            "country_code": "US",
            "telephone_number": "440-892-9777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRENDERGAST",
        "first_name": "ELIZABETH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Porter
• Donna Pratt, M.D.
• Johnathan Pratt
• Kaitlin Nicole Pratt, SWT
• Premier Anesthesia of Sandusky, Inc
• Sheila President
• Melissa Preston, LISW
• Diane Marie Presutto, LPN
• Nicholas Price, BA
• Primary Care of Northern Ohio, Limited

• Physical Therapist in Lorain, OH
• Providers in Lorain, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.