Individual provider Active NPI

John Jodzio, OTR/L

  • Occupational Therapist
  • Streetsboro, OH
National Provider Identifier
1043602568
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
008890 Issued in OH
Practice address
1645 Maplewood Dr
Streetsboro, OH 44241-5662
Phone
(330) 626-3031
Fax
(330) 626-2699
NPI assigned
Feb 20, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 008890 OH Primary

Addresses

Primary practice location

1645 Maplewood Dr
Streetsboro, OH 44241-5662

Mailing address

21850 S Woodland Rd
Shaker Heights, OH 44122-3057
Phone (440) 478-4062

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
008890OHMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1043602568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21850 S WOODLAND RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441223057",
            "telephone_number": "440-478-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 MAPLEWOOD DR",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442415662",
            "telephone_number": "330-626-3031",
            "fax_number": "330-626-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JODZIO",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "008890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Streetsboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.