Peggy Eitzman, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 04892 Issued in OH

Practice address

1787 Indian Wood Cir
Maumee, OH 43537-4010

Phone

(419) 897-9822

NPI assigned

Jul 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1235339045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 EXECUTIVE PKWY",
            "address_2": "SUITE 128",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 INDIAN WOOD CIR",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374010",
            "telephone_number": "419-897-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EITZMAN",
        "first_name": "PEGGY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA 04892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edp of Ohio, PC
• Jazmine M Edwards, RN
• Alexia Ehrsam, RBT
• Regina Suzanne Eich, M.D.
• Mary Eilert
• Mohammad Mahmoud El Sayyad, M.D.
• Marwa El-Bohy, M.D.
• Lorrie Ann Elchert, NURSE PARCTITIONER
• Elia Acuna DC LLP
• Lydia Jane Elick, LSW, CDCA

• Physical Therapy Assistant in Maumee, OH
• Providers in Maumee, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.