Individual provider Active NPI

Mindi Thal, PT

  • Physical Therapist
  • Medina, OH
National Provider Identifier
1861019309
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT003475 Issued in OH
Practice address
435 W Liberty St
Medina, OH 44256-2221
Phone
(216) 459-2846
Fax
(216) 901-2803
NPI assigned
Jul 1, 2020
Last updated
Jul 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT003475 OH Primary

Addresses

Primary practice location

435 W Liberty St
Medina, OH 44256-2221

Mailing address

5000 Rockside Rd Ste 500
Independence, OH 44131-2178
Phone (216) 459-2846

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1861019309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 ROCKSIDE RD STE 500",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312178",
            "telephone_number": "216-459-2846",
            "fax_number": "216-901-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 W LIBERTY ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562221",
            "telephone_number": "216-459-2846",
            "fax_number": "216-901-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAL",
        "first_name": "MINDI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT003475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.