Lauren Bertagnolli, P.T., D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT013869 Issued in OH

Practice address

1611 South Green Rd.
Suite 036
South Euclid, OH 44121-4129

Phone

(216) 291-2277

Fax

(216) 291-5707

NPI assigned

Aug 13, 2012

Last updated

Dec 11, 2017By the provider in NPPES

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

Interoperability endpoints

• Direct secure messaging: lbertagnolli39014@ehrdirect.uhhospitals.org

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.

• Michael M Supler & Associates Inc

  dba University Suburban Physical Therapy University Suburban Sports Medici

  • Physical Therapist
  • South Euclid, OH
  • NPI 1467555482
  NPD (past)

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512950400000",
    "number": "1750638409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 SOUTH GREEN RD.",
            "address_2": "SUITE 036",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441214129",
            "telephone_number": "216-291-2277",
            "fax_number": "216-291-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 SOUTH GREEN RD.",
            "address_2": "SUITE 036",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441214129",
            "telephone_number": "216-291-2277",
            "fax_number": "216-291-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTAGNOLLI",
        "first_name": "LAUREN",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2017-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT013869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey J Bednarcik
• Youssef Benhaddouche
• Kydayja Berry
• Nicole Dione Berry, FNP
• Tamara Berry
• Nicole Best, MSPT, CWS
• Dominique Bethly
• Tomisha Yvon Bethune, CNP
• Megan Colleen Bickett, LPCC-S
• Felicia Billups

• Physical Therapist in South Euclid, OH
• Providers in South Euclid, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.