Provider Demographics
NPI:1588273825
Name:TREMONT FUNCTIONAL REHAB
Entity type:Organization
Organization Name:TREMONT FUNCTIONAL REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANTZIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:216-721-9010
Mailing Address - Street 1:PO BOX 64
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44286-0064
Mailing Address - Country:US
Mailing Address - Phone:216-904-6670
Mailing Address - Fax:216-586-6780
Practice Address - Street 1:2401 SCRANTON RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-4313
Practice Address - Country:US
Practice Address - Phone:216-356-6030
Practice Address - Fax:216-586-6780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-22
Last Update Date:2022-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty