Active NPI
Pamela J Hietanen, LPTA
- Massage Therapist
- Warrensville Heights, OH
National Provider Identifier
1154711893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 33.013261
- Practice address
- 25001 Emery Rd
Warrensville Heights, OH 44128-5626 - Phone
- (216) 285-4070
- Fax
- (216) 201-5230
- NPI assigned
- Feb 3, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA.09434 | OH | |
| Massage Therapist | 225700000X | 33.013261 | OH | Primary |
Addresses
Primary practice location
25001 Emery Rd
Warrensville Heights, OH 44128-5626
Mailing address
25001 Emery Rd Ste 100
Warrensville Heights, OH 44128-5627
Phone (216) 285-4070
Other practice location 1
339 E Maple St
North Canton, OH 44720-2593
Phone (330) 498-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154711893 | Other | OH | SELF-PAY |
Other names 1
- Pamela J Hietanen
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA.09434 | OH | MD | Physical Therapy Assistant |
| 33.013261 | OH | MD | Massage Therapist |
Interoperability endpoints
- phietanen38944@ehrdirect.uhhospitals.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1154711893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25001 EMERY RD STE 100",
"city": "WARRENSVILLE HEIGHTS",
"state": "OH",
"postal_code": "441285627",
"telephone_number": "216-285-4070",
"fax_number": "216-201-5230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25001 EMERY RD",
"city": "WARRENSVILLE HEIGHTS",
"state": "OH",
"postal_code": "441285626",
"telephone_number": "216-285-4070",
"fax_number": "216-201-5230"
}
],
"practiceLocations": [
{
"address_1": "339 E Maple St",
"address_purpose": "LOCATION",
"city": "North Canton",
"state": "OH",
"postal_code": "447202593",
"country_code": "US",
"telephone_number": "330-498-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIETANEN",
"first_name": "PAMELA",
"middle_name": "J",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-03",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "PTA.09434",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "33.013261",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELF-PAY",
"identifier": "1154711893",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "HIETANEN",
"middle_name": "J",
"credential": "LMT",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Warrensville Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.