Individual provider Active NPI

Mark Jester Enal Gloriani, P.T.

  • Physical Therapist
  • Cleveland HTS, OH
National Provider Identifier
1902923840
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT.011339 Issued in OH
Practice address
2680 Euclid Heights Blvd
Apt203E
Cleveland HTS, OH 44106-2865
Phone
(216) 632-2117
NPI assigned
Mar 24, 2007
Sex
Male
Sole proprietor
Yes

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 Therapist 225100000X PT.011339 OH Primary

Addresses

Primary practice location

2680 Euclid Heights Blvd
Apt203E
Cleveland HTS, OH 44106-2865

Mailing address

2680 Euclid Heights Blvd
Apt203E
Cleveland HTS, OH 44106-2865
Phone (216) 632-2117

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
PT.011339OHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902923840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 EUCLID HEIGHTS BLVD",
            "address_2": "APT203E",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441062865",
            "telephone_number": "216-632-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 EUCLID HEIGHTS BLVD",
            "address_2": "APT203E",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441062865",
            "telephone_number": "216-632-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLORIANI",
        "first_name": "MARK JESTER",
        "middle_name": "ENAL",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.011339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland HTS, 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.