Unknown Individual – Occupational Therapy Assistant, NPI 1063747921

Unknown Individual is a healthcare provider. based in Chagrin falls, Ohio. specializing in Occupational Therapy Assistant. They hold a License No. OTA04092 (OH). The NPI Number for Unknown Individual is 1063747921

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063747921
Phone
(440) 247-3993
Address
6618 CHAGRIN RIVER RD
Deactivation Date
6 September 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 6618 CHAGRIN RIVER RD

    CHAGRIN FALLS, OH 440223537

    Phone: (440) 247-3993

    Type: Mailing

  • 5200 MARYMOUNT VILLAGE DR

    GARFIELD HTS, OH 441252973

    Phone: (216) 332-1100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44022)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1063747921.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Occupational Therapy Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Chagrin Falls, Ohio in the same public data insurers reference.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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