Shaker Boulevard Rehab Group LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SHAKER BOULEVARD REHAB GROUP LLC

Practice address

11811 Shaker Blvd Ste 309
Cleveland, OH 44120-1927

Phone

(216) 791-4307

Fax

(216) 791-4338

NPI assigned

Aug 1, 2014

Organization subpart

No

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

Authorized official

Name

Drew Schwartz

Title

Owner

Phone

(216) 791-4307

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1386052405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11811 SHAKER BLVD STE 309",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441201927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11811 SHAKER BLVD STE 309",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441201927",
            "telephone_number": "216-791-4307",
            "fax_number": "216-791-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAKER BOULEVARD REHAB GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "DREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-791-4307"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• 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 Aug 1, 2014; 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.