Active NPI
Shanna E Olenik, DPT
- Orthopedic Physical Therapist
- Beachwood, OH
National Provider Identifier
1891014379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 24099
- Practice address
- 23811 Chagrin Blvd Ste 120
Beachwood, OH 44122-5555 - Phone
- (216) 682-0413
- NPI assigned
- May 24, 2010
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 24099 | FL | Primary |
Addresses
Primary practice location
23811 Chagrin Blvd Ste 120
Beachwood, OH 44122-5555
Mailing address
3503 Northcliffe Rd
Cleveland Heights, OH 44118-3609
Phone (305) 502-8467
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Body Owners Physical Therapy & Wellness Center, LLC | 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.
-
- Physical Therapist
- Apopka, FL
- NPI 1720151723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383782400000",
"number": "1891014379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3503 NORTHCLIFFE RD",
"city": "CLEVELAND HEIGHTS",
"state": "OH",
"postal_code": "441183609",
"telephone_number": "305-502-8467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23811 CHAGRIN BLVD STE 120",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225555",
"telephone_number": "216-682-0413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLENIK",
"first_name": "SHANNA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-24",
"last_updated": "2013-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "24099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.