Theresa M Bedinghaus
Individual provider Active NPI Physical Therapist · Southgate, KY
NPI 1992936579 · NPPES record last updated Jul 30, 2009
Key facts
- NPI
- 1992936579
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 001935 (KY)
- Practice address
- 106 Fort Beech Dr
Southgate, KY 41071-2855 - Phone
- (859) 781-0817
- Fax
- (859) 781-0387
- NPI assigned
- Jul 30, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Smart Rehab, LLC
Practice addresses (Care Compare)
Covington, KY 41011
Phone (314) 447-8511
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260109000629 | KY | Practitioner - Physical Therapist in Private Practice | 6103302112 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001935 | KY | MD | Physical Therapist |
| 005502 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smart Rehab, LLC | Physical Therapist | Current |
Accepting new patients |
| Rehabcare Group East, LLC | Past | Accepting new patients |
Locations
2722 Erie Ave
Cincinnati, OH 45208
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 001935 | KY | Yes |
| Physical Therapist | 225100000X | 005502 | OH |
Addresses
Primary practice location
106 Fort Beech Dr
Southgate, KY 41071-2855
Mailing address
106 Fort Beech Dr
Southgate, KY 41071-2855
Other providers in Southgate, KY
- Meredith Beard
- Joan O Bovard
- Allyson Bridewell
- Danilo Joson Calderon
- Cincinnati Health Care Group PSC
- Penne Clos
All providers in Southgate, KY · Physical Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.