Individual provider Active NPI

Deena Lambert, PT

  • Physical Therapist
  • Poland, OH
National Provider Identifier
1902087646
Registry record updated Nov 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT006611 Issued in OH
Practice address
335 W McKinley Way
Poland, OH 44514-1681
Phone
(330) 797-9407
Fax
(330) 797-9474
NPI assigned
Nov 23, 2007
Last updated
Nov 23, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2007

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 PT006611 OH Primary

Addresses

Primary practice location

335 W McKinley Way
Poland, OH 44514-1681

Mailing address

5620 Mahoning Ave Ste C
Austintown, OH 44515-2333
Phone (330) 797-9407

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

State licenses

LicenseStateTypeSpecialty
PT006611OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Town Park Physical Therapy & Wellness Center LLC Physical Therapist CurrentSince Oct 29, 2024 Accepting new patients
Professional Rehab Services Inc Physical Therapist Past Accepting new patients

Locations

19 W Main St
Ste 9
Ashland, OH 44805
Phone (234) 274-4681

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195776000000",
    "number": "1902087646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 MAHONING AVE STE C",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152333",
            "telephone_number": "330-797-9407",
            "fax_number": "330-797-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 W MCKINLEY WAY",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445141681",
            "telephone_number": "330-797-9407",
            "fax_number": "330-797-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBERT",
        "first_name": "DEENA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-23",
        "last_updated": "2007-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT006611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.