Provider Demographics
NPI:1245411552
Name:FRANK, ROBERT M (LPT)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:M
Last Name:FRANK
Suffix:
Gender:M
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-15
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2778225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000232967OtherBC/BS FEDERAL
OH000000232967OtherANTHEM
OH867616OtherUNITED HEALTHCARE
OH0879812Medicaid
OH6420037OtherUHC
OHPT156OtherHUMANA
OH2381539OtherUNITED HEALTHCARE
OH000000232967OtherBC/BS FEDERAL
OH6420037OtherUHC
OH0879812Medicaid
OH000000232967OtherBC/BS FEDERAL