Individual provider Active NPI

Erin L Hladiuk, PT

  • Physical Therapist
  • Mineral Ridge, OH
National Provider Identifier
1629283601
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9718 Issued in OH
Practice address
1762 Dumont Dr
Mineral Ridge, OH 44440-9508
Phone
(330) 544-1072
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9718 OH Primary
Physical Therapist 225100000X 10373 WA

Addresses

Primary practice location

1762 Dumont Dr
Mineral Ridge, OH 44440-9508

Mailing address

1762 Dumont Dr
Mineral Ridge, OH 44440-9508
Phone (330) 544-1072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221010002683 OH Practitioner - Physical Therapist in Private Practice 3577949817 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10373WAMDGeneral Practice Dentistry
9718OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Engage Wellness LLC Physical Therapist CurrentSince Sep 27, 2022 Accepting new patients
Engage Wellness LLC Physical Therapist CurrentSince Sep 27, 2022 Accepting new patients

Locations

7150 Granite Cir
Ste 200
Toledo, OH 43617
Phone (419) 345-7645

6591 W Central Ave
Ste 105
Toledo, OH 43617
Phone (419) 345-7645

Organizations & group practices 2

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629283601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762 DUMONT DR",
            "city": "MINERAL RIDGE",
            "state": "OH",
            "postal_code": "444409508",
            "telephone_number": "330-544-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 DUMONT DR",
            "city": "MINERAL RIDGE",
            "state": "OH",
            "postal_code": "444409508",
            "telephone_number": "330-544-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HLADIUK",
        "first_name": "ERIN",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "9718",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "10373",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineral Ridge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.