Healthcare Provider Details

I. General information

NPI: 1598956260
Provider Name (Legal Business Name): NORMAN SINREICH PT, CPO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2007
Last Update Date: 08/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 S MARGINAL RD
CLEVELAND OH
44103-1072
US

IV. Provider business mailing address

30858 FALKIRK DR
WESTLAKE OH
44145-6828
US

V. Phone/Fax

Practice location:
  • Phone: 216-426-9020
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Z00000X
TaxonomyOrthotist
License NumberLPO 218
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code224P00000X
TaxonomyProsthetist
License NumberLPO 218
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT 7643
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: