Active NPI
Michael Wayne Hotz, PT
- Physical Therapist
- Parma, OH
National Provider Identifier
1558414540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1352
- Practice address
- 6900 Ridge Rd
Parma, OH 44129-5650 - Phone
- (440) 888-4526
- Fax
- (440) 888-9102
- NPI assigned
- Jan 21, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1352 | OH | Primary |
Addresses
Primary practice location
6900 Ridge Rd
Parma, OH 44129-5650
Mailing address
659 Lakeside Dr
Avon Lake, OH 44012-2783
Phone (216) 513-5937
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 |
|---|---|---|---|
| 1352 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283299200000",
"number": "1558414540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "659 LAKESIDE DR",
"city": "AVON LAKE",
"state": "OH",
"postal_code": "440122783",
"telephone_number": "216-513-5937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 RIDGE RD",
"city": "PARMA",
"state": "OH",
"postal_code": "441295650",
"telephone_number": "440-888-4526",
"fax_number": "440-888-9102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOTZ",
"first_name": "MICHAEL",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-21",
"last_updated": "2010-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "1352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parma, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.