Individual provider Active NPI

Mitch Katz, PT

  • Physical Therapist
  • Cleveland Heights, OH
National Provider Identifier
1417907239
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT005022 Issued in OH
Practice address
5 Severance Cir
Ste 115
Cleveland Heights, OH 44118-1566
Phone
(216) 381-0300
Fax
(216) 381-0325
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT005022 OH Primary

Addresses

Primary practice location

5 Severance Cir
Ste 115
Cleveland Heights, OH 44118-1566

Mailing address

23825 Commerce Park
Ste B
Beachwood, OH 44122-5837
Phone (216) 292-6363

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Lifeforce Corporation CurrentSince Jun 18, 2012 Accepting new patients
Northwest Lifeforce Corporation PastSince Jun 16, 2011 Accepting new patients
Southeast Chiropractic and Therapy Center Inc PastSince Jun 18, 2012 Accepting new patients

Locations

23131 Emery Rd
Warrensvl Hts, OH 44128
Phone (216) 514-9590

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1417907239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23825 COMMERCE PARK",
            "address_2": "STE B",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225837",
            "telephone_number": "216-292-6363",
            "fax_number": "216-292-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SEVERANCE CIR",
            "address_2": "STE 115",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181566",
            "telephone_number": "216-381-0300",
            "fax_number": "216-381-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "MITCH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT005022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.