Individual provider Active NPI

Eric S. Polz, O.T.

  • Occupational Therapist
  • Toledo, OH
National Provider Identifier
1821279753
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT006924 Issued in OH
Practice address
3160 Central Park W
Toledo, OH 43617-1083
Phone
(419) 841-1840
Fax
(419) 841-1841
NPI assigned
Nov 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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 OT006924 OH Primary

Addresses

Primary practice location

3160 Central Park W
Toledo, OH 43617-1083

Mailing address

7550 Lucerne Dr
Suite 405
Middleburg Heights, OH 44130-6588
Phone (419) 841-1840

Other identifiers 1

IdentifierTypeStateIssuer
2129655MedicaidOH

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
OT006924OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Dynamics, Inc. Occupational Therapist PastSince Jul 29, 2021 Accepting new patients

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": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1821279753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 LUCERNE DR",
            "address_2": "SUITE 405",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441306588",
            "telephone_number": "419-841-1840",
            "fax_number": "419-841-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 CENTRAL PARK W",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171083",
            "telephone_number": "419-841-1840",
            "fax_number": "419-841-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLZ",
        "first_name": "ERIC",
        "middle_name": "S.",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-20",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT006924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2129655",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.