Active NPI
Amanda Laxganger, PT, DPT
- Physical Therapist
- Middleburg Heights, OH
National Provider Identifier
1427816636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT020893
- Practice address
- 7390 Old Oak Blvd
Middleburg Heights, OH 44130-3328 - Phone
- (440) 816-4202
- NPI assigned
- Mar 12, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT020893 | OH | Primary |
Addresses
Primary practice location
7390 Old Oak Blvd
Middleburg Heights, OH 44130-3328
Mailing address
3296 Royalton Rd
North Royalton, OH 44133-5210
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 |
|---|---|---|---|
| PT020893 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1427816636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3296 ROYALTON RD",
"city": "NORTH ROYALTON",
"state": "OH",
"postal_code": "441335210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7390 OLD OAK BLVD",
"city": "MIDDLEBURG HEIGHTS",
"state": "OH",
"postal_code": "441303328",
"telephone_number": "440-816-4202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAXGANGER",
"first_name": "AMANDA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-12",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT020893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middleburg Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.