Individual provider Active NPI

Zvart Lisa Keyan, DPT

  • Orthopedic Physical Therapist
  • Beachwood, OH
National Provider Identifier
1912400144
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT017293 Issued in OH
Practice address
23811 Chagrin Blvd Ste 120
Beachwood, OH 44122-5555
Phone
(216) 682-0413
Fax
(216) 682-0417
NPI assigned
Mar 14, 2018
Last updated
Nov 9, 2021By the provider in NPPES
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
Orthopedic Physical Therapist 2251X0800X PT017293 OH Primary

Addresses

Primary practice location

23811 Chagrin Blvd Ste 120
Beachwood, OH 44122-5555

Mailing address

23811 Chagrin Blvd Ste 120
Beachwood, OH 44122-5555
Phone (216) 682-0413

Other practice location 1

8836 Tyler Blvd
Mentor, OH 44060-4361
Phone (440) 255-9553

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

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1912400144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23811 CHAGRIN BLVD STE 120",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225555",
            "telephone_number": "216-682-0413",
            "fax_number": "216-682-0417"
        },
        {
            "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",
            "fax_number": "216-682-0417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8836 Tyler Blvd",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "440604361",
            "country_code": "US",
            "telephone_number": "440-255-9553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEYAN",
        "first_name": "ZVART",
        "middle_name": "LISA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT017293",
            "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 9, 2021; 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.