Active NPI
Lakewood Functional Rehab
- Physical Therapy Clinic/Center
- Lakewood, OH
National Provider Identifier
1497539977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- LAKEWOOD FUNCTIONAL REHAB
- Practice address
- 11716 Detroit Ave
Lakewood, OH 44107-3002 - Phone
- (216) 284-3077
- NPI assigned
- Aug 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alex Frantzis, DC
- Title
- Member
- Phone
- (216) 284-3077
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
11716 Detroit Ave
Lakewood, OH 44107-3002
Mailing address
PO Box 64
Richfield, OH 44286-0064
Phone (216) 284-3077
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692835200000",
"number": "1497539977",
"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": "216-284-3077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11716 DETROIT AVE",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441073002",
"telephone_number": "216-284-3077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEWOOD FUNCTIONAL REHAB",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-24",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A",
"authorized_official_last_name": "FRANTZIS",
"authorized_official_first_name": "ALEX",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "216-284-3077",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, OH
- Lakewood Dental Associates LLC (Lakewood Dental)
- Lakewood Dental Group, Jeffrey S Rosenthal DDS Inc
- Lakewood Dental Partners, LLC
- Lakewood Dermatology
- Lakewood Foundation (A New Day)
- Lakewood Health Care Center, Inc. (EnnisCourt Assisted Living)
- Lakewood Health Care Center, Inc. (EnnisCourt)
- Lakewood Hospital Association
- Lakewood Hospital Association (Lakewood Hospital)
- Lakewood Hospital Association (Lakewood Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.