Active NPI
Terese Hurin, CPO
- Orthotist
- Cleveland, OH
National Provider Identifier
1154028314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- Practice address
- 10701 East Blvd
Cleveland, OH 44106-1702 - Phone
- (216) 327-0769
- NPI assigned
- Feb 8, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthotist | 222Z00000X | Primary |
Addresses
Primary practice location
10701 East Blvd
Cleveland, OH 44106-1702
Mailing address
11016 Bancroft Ave NW
Uniontown, OH 44685-8686
Phone (330) 940-9640
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4612 | Medicaid | VA | |
| 61 | Medicaid | OH |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675814400000",
"number": "1154028314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11016 BANCROFT AVE NW",
"city": "UNIONTOWN",
"state": "OH",
"postal_code": "446858686",
"telephone_number": "330-940-9640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10701 EAST BLVD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061702",
"telephone_number": "216-327-0769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURIN",
"first_name": "TERESE",
"credential": "CPO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-08",
"last_updated": "2023-02-08",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4612",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "61",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.