Individual provider Active NPI

Gerlinda Irene Wengstrom, LPTA

  • Physical Therapy Assistant
  • Seven Hills, OH
National Provider Identifier
1861571242
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA01231 Issued in OH
Practice address
5700 Lombardo Ctr
Ste 205
Seven Hills, OH 44131-2540
Phone
(216) 447-1149
NPI assigned
Nov 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA01231 OH Primary

Addresses

Primary practice location

5700 Lombardo Ctr
Ste 205
Seven Hills, OH 44131-2540

Mailing address

36040 Jason Dr
Grafton, OH 44044-9302
Phone (440) 522-3203

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

LicenseStateTypeSpecialty
PTA01231OHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Services, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861571242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36040 JASON DR",
            "city": "GRAFTON",
            "state": "OH",
            "postal_code": "440449302",
            "telephone_number": "440-522-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 LOMBARDO CTR",
            "address_2": "STE 205",
            "city": "SEVEN HILLS",
            "state": "OH",
            "postal_code": "441312540",
            "telephone_number": "216-447-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENGSTROM",
        "first_name": "GERLINDA",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA01231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seven Hills, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.