Individual provider Active NPI

Tracy L Vest

  • Physical Therapist
  • Painesville, OH
National Provider Identifier
1992220107
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT.015200 Issued in OH
Practice address
247 Hillside Dr
Painesville, OH 44077-3806
Phone
(440) 853-6214
Fax
(440) 287-6081
NPI assigned
Aug 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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.015200 OH Primary

Addresses

Primary practice location

247 Hillside Dr
Painesville, OH 44077-3806

Mailing address

451 Fernwood CT
Painesville, OH 44077-6157

Other practice location 1

451 Fernwood Ct
Painesville, OH 44077-6157
Phone (440) 829-6017

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210507002509 OH Practitioner - Physical Therapist in Private Practice 8527477264 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Luna Care Physical Therapy LLCGroup PAC ID 6204256696, 16 clinicians

Practice addresses (Care Compare)

247 Hillside Dr
Painesville, OH 44077-3806
Phone (440) 853-6214

4200 Regent St
Suite 200
Columbus, OH 43219-6229
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT.015200OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pieces of You Home Therapy Services Physical Therapist CurrentSince Apr 1, 2021 Accepting new patients
Ohio Physical Therapy Services of Mayfield Heights, LLC Physical Therapist CurrentSince Feb 10, 2024 Accepting new patients
Ohio Luna Care Physical Therapy LLC Physical Therapist CurrentSince May 29, 2024 Accepting new patients

Locations

4200 Regent St
Ste 200
Columbus, OH 43219
Phone (877) 581-2210

47 S State St
Ste 203
Painesville, OH 44077
Phone (440) 829-6017

247 Hillside Dr
Painesville, OH 44077
Phone (440) 853-6214

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": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1992220107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 FERNWOOD CT",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440776157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 HILLSIDE DR",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773806",
            "telephone_number": "440-853-6214",
            "fax_number": "440-287-6081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 Fernwood Ct",
            "address_purpose": "LOCATION",
            "city": "Painesville",
            "state": "OH",
            "postal_code": "440776157",
            "country_code": "US",
            "telephone_number": "440-829-6017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEST",
        "first_name": "TRACY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.015200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Painesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.