Healthcare Provider Details

I. General information

NPI: 1063377216
Provider Name (Legal Business Name): SHEILA BAUZA PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11409 STATE RD
NORTH ROYALTON OH
44133-3262
US

IV. Provider business mailing address

11409 STATE RD
NORTH ROYALTON OH
44133-3262
US

V. Phone/Fax

Practice location:
  • Phone: 440-877-9120
  • Fax: 440-877-9121
Mailing address:
  • Phone: 440-877-9120
  • Fax: 440-877-9121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number8299
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: