MEDICARE: WESTPARK OMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1881744191
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTPARK OMT

Provider Business Mailing Address
First Line	:	4367 ROCKY RIVER DR
Second Line	:	SUITE 100
City	:	CLEVELAND
State	:	OH
Zip	:	44135-2517
Country	:	US
Telephone Number	:	216-252-8522
Fax Number	:	216-252-8722

Provider Business Practice Location Address
First Line	:	4367 ROCKY RIVER DR
Second Line	:	SUITE 100
City	:	CLEVELAND
State	:	OH
Zip	:	44135-2517
Country	:	US
Telephone Number	:	216-252-8522
Fax Number	:	216-252-8722

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TODD S. HOCHMAN
Credential	:
Telephone Number	:	216-663-5680

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	08/22/2020

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Directions to “WESTPARK OMT ” Practice Location

Language	Start Address	Practice Location

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