Active NPI
Marilyn Siegel, P.T.
- Physical Therapist
- Beachwood, OH
National Provider Identifier
1982625422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT001540
- Practice address
- 23250 Mercantile Rd.
Beachwood, OH 44122 - Phone
- (216) 292-0600
- Fax
- (216) 292-0609
- NPI assigned
- Jul 21, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT001540 | OH | Primary |
Addresses
Primary practice location
23250 Mercantile Rd.
Beachwood, OH 44122
Mailing address
23250 Mercantile
Beachwood, OH 44122
Phone (216) 292-0600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000515325 | Other | OH | ANTHEM |
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": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1982625422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23250 MERCANTILE",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "44122",
"telephone_number": "216-292-0600",
"fax_number": "216-292-0609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23250 MERCANTILE RD.",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "44122",
"telephone_number": "216-292-0600",
"fax_number": "216-292-0609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "MARILYN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT001540",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000515325",
"state": "OH"
}
],
"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 Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.