Shaker Functional Rehab, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SHAKER FUNCTIONAL REHAB, LLC

Practice address

11201 Shaker Blvd Ste 322
Cleveland, OH 44104-3871

Phone

(216) 721-9010

Fax

(216) 586-6780

NPI assigned

Nov 9, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alexis Frantzis, DC

Title

Owner

Phone

(216) 721-9010

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1205592722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64",
            "city": "RICHFIELD",
            "state": "OH",
            "postal_code": "442860064",
            "telephone_number": "216-721-9010",
            "fax_number": "216-586-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 SHAKER BLVD STE 322",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441043871",
            "telephone_number": "216-721-9010",
            "fax_number": "216-586-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAKER FUNCTIONAL REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "FRANTZIS",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-721-9010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zaid Mohammad Fahmi Shahrori, MD
• Anna Eenas Shahrour, DMD
• Aaron Ali Shaikh, M.D.
• Aasef Gulammuhammad Shaikh, M.D.
• Shaker Boulevard Rehab Group LLC
• Shaker Square Chiropractic, Inc
• Pamela M Shaker-Maurer, CRNA
• Dorota Magdalene Shaker, D.O.
• Maria Elena Shaker, M.D.
• Landel Shakespeare

• Chiropractor in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.