Individual provider Active NPI

Ellen R Bartz, OTR/L

  • Occupational Therapist
  • Cleveland, OH
National Provider Identifier
1750884219
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT002739 Issued in OH
Practice address
1349 E 79TH St
Cleveland, OH 44103-2864
Phone
(216) 838-1962
NPI assigned
Mar 12, 2018
Last updated
Mar 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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 OT002739 OH Primary

Addresses

Primary practice location

1349 E 79TH St
Cleveland, OH 44103-2864

Mailing address

2716 Derbyshire Rd
Cleveland Heights, OH 44106-3319
Phone (216) 534-5760

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
OT002739OHMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1750884219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 DERBYSHIRE RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441063319",
            "telephone_number": "216-534-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 E 79TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441032864",
            "telephone_number": "216-838-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTZ",
        "first_name": "ELLEN",
        "middle_name": "R",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT002739",
            "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 Mar 12, 2018; 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.