Active NPI
Angela L Hejduk, R.K.T.
- Kinesiotherapist
- Cleveland, OH
National Provider Identifier
1902910813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Kinesiotherapist
- License
- 1702
- Practice address
- 2060 E 9TH St
Cleveland, OH 44115-1313 - Phone
- (216) 687-7674
- NPI assigned
- Aug 18, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Kinesiotherapist | 226300000X | 1702 | OH | Primary |
Addresses
Primary practice location
2060 E 9TH St
Cleveland, OH 44115-1313
Mailing address
33332 Vine St
201-H
Willowick, OH 44095-3418
Phone (216) 272-7896
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 |
|---|---|---|---|
| 1702 | OH | MD | Kinesiotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902910813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33332 VINE ST",
"address_2": "201-H",
"city": "WILLOWICK",
"state": "OH",
"postal_code": "440953418",
"telephone_number": "216-272-7896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2060 E 9TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441151313",
"telephone_number": "216-687-7674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEJDUK",
"first_name": "ANGELA",
"middle_name": "L",
"name_prefix": "Miss",
"credential": "R.K.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "226300000X",
"taxonomy_group": "",
"desc": "Kinesiotherapist",
"state": "OH",
"license": "1702",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.