Active NPI
Joan C Nethery, PT, NCS
- Neurology Physical Therapist
- Cleveland, OH
National Provider Identifier
1861601213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- 608
- Practice address
- 10701 East Blvd
L S Cleveland Dept of Veterans Affairs Medical Center
Cleveland, OH 44106-1702 - Phone
- (216) 791-3800
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | 608 | OH | Primary |
Addresses
Primary practice location
10701 East Blvd
L S Cleveland Dept of Veterans Affairs Medical Center
Cleveland, OH 44106-1702
Mailing address
7585 Samuel Lord Dr
Chagrin Falls, OH 44023-1114
Phone (440) 247-1674
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
| License | State | Type | Specialty |
|---|---|---|---|
| 608 | OH | MD | Neurology Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861601213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7585 SAMUEL LORD DR",
"city": "CHAGRIN FALLS",
"state": "OH",
"postal_code": "440231114",
"telephone_number": "440-247-1674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10701 EAST BLVD",
"address_2": "L S CLEVELAND DEPT OF VETERANS AFFAIRS MEDICAL CENTER",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061702",
"telephone_number": "216-791-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NETHERY",
"first_name": "JOAN",
"middle_name": "C",
"credential": "PT, NCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "OH",
"license": "608",
"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 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.