Organization Active NPI

Northcoast Rehab

  • Chiropractor
  • Cleveland, OH
National Provider Identifier
1780928721
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3903 Issued in OH
Legal business name
NORTHCOAST REHAB
Practice address
11201 Shaker Blvd Ste 322
Cleveland, OH 44104-3871
Phone
(216) 721-9010
NPI assigned
Nov 15, 2012
Last updated
Mar 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Dr. Alex Frantzis, DCNPI 1447410345
Title
Owner
Phone
(216) 721-9010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3903 OH Primary

Addresses

Primary practice location

11201 Shaker Blvd Ste 322
Cleveland, OH 44104-3871

Mailing address

11201 Shaker Blvd Ste 322
Cleveland, OH 44104-3871
Phone (216) 721-9010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131008001673 OH Part B Supplier - Clinic/Group Practice 7214161108 Receives reassigned benefits from 1 practitioner
Practice locations: Cleveland, OH

National Provider Directory

National Provider Directory

Locations

11201 Shaker Blvd
Ste 332
Cleveland, OH 44104
Phone (216) 721-9010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1780928721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHCOAST REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "FRANTZIS",
        "authorized_official_first_name": "ALEX",
        "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": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.