Individual provider Active NPI

Deepesh Harendra Dani, PT, DPT, MS

  • Physical Therapist
  • Cleveland, OH
National Provider Identifier
1760932289
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016768 Issued in OH
Practice address
6509 Hidden Woods TRL
Cleveland, OH 44143-3500
Phone
(724) 467-0337
NPI assigned
Oct 7, 2016
Reactivated
Sep 2, 2021
Last updated
Jul 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05009855A IN
Physical Therapist 225100000X 031153 NY
Physical Therapist 225100000X PT016768 OH Primary

Addresses

Primary practice location

6509 Hidden Woods TRL
Cleveland, OH 44143-3500

Mailing address

6509 Hidden Woods TRL
Cleveland, OH 44143-3500
Phone (724) 467-0337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221005002800 OH Practitioner - Physical Therapist in Private Practice 3173907334 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

464 Richmond Rd
Suite 205
Richmond Heights, OH 44143-2704
Phone (724) 467-0337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
05009855AINMDPhysical Therapist
031153NYMDPhysical Therapist
PT016768OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yogi Rehab Physical Therapist CurrentSince Jul 14, 2022 Accepting new patients
Ohio Physical Therapy Services of Mayfield Heights, LLC Physical Therapist CurrentSince Jun 16, 2022 Accepting new patients

Locations

464 Richmond Rd
Ste 205
Richmond Heights, OH 44143
Phone (216) 481-9650

Organizations & group practices 2

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": "1475798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1760932289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 HIDDEN WOODS TRL",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441433500",
            "telephone_number": "724-467-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6509 HIDDEN WOODS TRL",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441433500",
            "telephone_number": "724-467-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANI",
        "first_name": "DEEPESH",
        "middle_name": "HARENDRA",
        "name_prefix": "Mr.",
        "credential": "PT, DPT, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-07",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "deactivation_date": "2021-08-09",
        "reactivation_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05009855A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031153",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT016768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.