Healthcare Provider Details

I. General information

NPI: 1144860347
Provider Name (Legal Business Name): NICHOLAS JAMES SOHL DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2020
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29017 CHARDON RD
WILLOUGHBY HILLS OH
44092-1475
US

IV. Provider business mailing address

5034 GLENN LODGE RD # RF
MENTOR OH
44060-1367
US

V. Phone/Fax

Practice location:
  • Phone: 440-516-5400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number017864
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: