Individual provider Active NPI

Rachel Clinedinst, DPT

  • Physical Therapist
  • Mount Vernon, OH
National Provider Identifier
1891234381
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
015524 Issued in OH
Practice address
112 Harcourt Rd Ste 1
Mount Vernon, OH 43050-3944
Phone
(740) 392-8811
Fax
(740) 392-6485
NPI assigned
Feb 16, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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 015524 OH Primary

Addresses

Primary practice location

112 Harcourt Rd Ste 1
Mount Vernon, OH 43050-3944

Mailing address

112 Harcourt Rd Ste 1
Mount Vernon, OH 43050-3944
Phone (740) 392-8811

Other names 1

  • Rachel Buirley Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170404002817 OH Practitioner - Physical Therapist in Private Practice 5698051761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitative Associates IncGroup PAC ID 4880598663, 9 clinicians

Practice addresses (Care Compare)

112 Harcourt Rd
Suite 1
Mount Vernon, OH 43050-3944
Phone (740) 392-8811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015524OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitative Associates Inc Physical Therapist CurrentSince Feb 19, 2017 Accepting new patients
Rehabilitative Associates Inc Physical Therapist CurrentSince Feb 19, 2017 Accepting new patients
Mohican Therapy Group Physical Therapist Past Accepting new patients

Locations

112 Harcourt Rd
Ste 1
Mount Vernon, OH 43050
Phone (740) 392-8811

Organizations & group practices 3

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": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1891234381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HARCOURT RD STE 1",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503944",
            "telephone_number": "740-392-8811",
            "fax_number": "740-392-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HARCOURT RD STE 1",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503944",
            "telephone_number": "740-392-8811",
            "fax_number": "740-392-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINEDINST",
        "first_name": "RACHEL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-16",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "015524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "BUIRLEY",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Vernon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.