Provider Demographics
NPI:1093803025
Name:QUANTUM PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:QUANTUM PHYSICAL THERAPY, INC.
Other - Org Name:ROBERT M. FRANK, P.T., INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:LPT
Authorized Official - Phone:937-277-2077
Mailing Address - Street 1:1 ELIZABETH PL
Mailing Address - Street 2:GRAY LEVEL, SUITE A
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45417-3445
Mailing Address - Country:US
Mailing Address - Phone:937-277-2077
Mailing Address - Fax:937-277-1600
Practice Address - Street 1:1 ELIZABETH PL
Practice Address - Street 2:GRAY LEVEL, SUITE A
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45417-3445
Practice Address - Country:US
Practice Address - Phone:937-277-2077
Practice Address - Fax:937-277-1600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2778261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH42180436400OtherCAREWORKS
OH6420037OtherUHC
OH0802572OtherAETNA
OH421804364005OtherMED MUTUAL: N MAIN
OHPT156OtherHUMANA
OH0879812Medicaid
OH867616OtherUNITED HEALTHCARE
OH000000232967OtherANTHEM
OH000000232967OtherBC/BS FEDERAL
OH2381539OtherUNITED HEALTHCARE
OHPT156OtherHUMANA
OH0879812Medicaid
OH6420037OtherUHC
OH9334511Medicare PIN
OH2381539OtherUNITED HEALTHCARE
OH=========00OtherBWC: N MAIN
OH0879812Medicaid