Healthcare Provider Details

I. General information

NPI: 1427893569
Provider Name (Legal Business Name): MICHAELA TOTH SOMMERFELD PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2024
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21225 LORAIN RD
FAIRVIEW PARK OH
44126-2120
US

IV. Provider business mailing address

2615 TRAYMORE RD
UNIVERSITY HEIGHTS OH
44118-4423
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-6262
  • Fax:
Mailing address:
  • Phone: 216-983-9997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT021943
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2024022485
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: