=====================================================
General NPI Number Information
=====================================================
NPI Number | 1063562478
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TODD SCOTT HOCHMAN MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/11/2007
-----------------------------------------------------
Last Update Date | 03/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3690 ORANGE PLACE SUITE 250
-----------------------------------------------------
City | BEACHWOOD
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44122-4438
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-663-5680
-----------------------------------------------------
Fax | 216-663-5690
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | HOCHMAN TODD MBR 3690 ORANGE PL STE 250
-----------------------------------------------------
City | BEACHWOOD
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44122-4438
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-663-5680
-----------------------------------------------------
Fax | 216-663-5690
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208100000X
-----------------------------------------------------
Taxonomy Name | Physical Medicine & Rehabilitation Physician
-----------------------------------------------------
License Number | 35-080635
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------