Individual provider Active NPI

Andrea Zjaba, OTR/L

  • Occupational Therapist
  • Cleveland, OH
National Provider Identifier
1679129662
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT002204 Issued in OH
Practice address
14077 Cedar Rd Ste Ll6A&C
Cleveland, OH 44118-3338
Phone
(216) 223-8761
NPI assigned
Aug 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT002204 OH Primary

Addresses

Primary practice location

14077 Cedar Rd Ste Ll6A&C
Cleveland, OH 44118-3338

Mailing address

5247 Wilson Mills Rd # 126
Richmond HTS, OH 44143-3016
Phone (216) 223-8761

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

LicenseStateTypeSpecialty
OT002204OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Therapy Solutions LTD CurrentSince Mar 24, 2024 Accepting new patients

Locations

14077 Cedar Rd
Ste LL6AC
Cleveland, OH 44118
Phone (216) 223-8761

5247 Wilson Mills Rd
Richmond Heights, OH 44143
Phone (216) 223-8761

Organizations & group practices 1

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": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1679129662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5247 WILSON MILLS RD # 126",
            "city": "RICHMOND HTS",
            "state": "OH",
            "postal_code": "441433016",
            "telephone_number": "216-223-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14077 CEDAR RD STE LL6A&C",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441183338",
            "telephone_number": "216-223-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZJABA",
        "first_name": "ANDREA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT002204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.