=====================================================
General NPI Number Information
=====================================================
NPI Number | 1063377216
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SHEILA BAUZA PT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/19/2025
-----------------------------------------------------
Last Update Date | 12/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11409 STATE RD
-----------------------------------------------------
City | NORTH ROYALTON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44133-3262
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-877-9120
-----------------------------------------------------
Fax | 440-877-9121
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11409 STATE RD
-----------------------------------------------------
City | NORTH ROYALTON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44133-3262
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-877-9120
-----------------------------------------------------
Fax | 440-877-9121
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2251X0800X
-----------------------------------------------------
Taxonomy Name | Orthopedic Physical Therapist
-----------------------------------------------------
License Number | 8299
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------