Shaker Heights Spinal and Rehabilitation

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

3343 Issued in OH

Legal business name

SHAKER HEIGHTS SPINAL AND REHABILITATION

Practice address

3535 Lee Rd
Shaker Heights, OH 44120-5122

Phone

(216) 921-6332

Fax

(440) 937-2239

NPI assigned

Jul 21, 2010

Last updated

Jul 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Roman Fortuna, D.C.NPI 1861534125

Title

Owner

Phone

(216) 321-6332

Specialties & licenses 1

Addresses

Locations

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.

• John R. Fortuna, D.C.

  • Rehabilitation Chiropractor
  • Parma, OH
  • NPI 1861534125
  NPD (past) Authorized official

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1932412723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 LEE RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441205122",
            "telephone_number": "216-921-6332",
            "fax_number": "440-937-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 LEE RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441205122",
            "telephone_number": "216-921-6332",
            "fax_number": "440-937-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAKER HEIGHTS SPINAL AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "FORTUNA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-321-6332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OH",
            "license": "3343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaker Clinic, LLC
• Shaker Gardens Opco LLC
• Shaker Gardens Opco LLC
• Shaker Gardens Opco LLC (Shaker Gardens Assisted Living)
• Shaker Heights City School District
• Shaker Heights Surgical Center, LLC
• Shaker Heights Youth Center
• Shaker Heights, LTC, LLC (Shaker Gardens Nursing and Rehabilitation)
• Shaker Women's Wellness, LLC
• Hebba Shamia

• Rehabilitation Chiropractor in Shaker Heights, OH
• Providers in Shaker Heights, OH by specialty
• Rehabilitation Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.