Provider Demographics
NPI:1477325538
Name:ERGOFIT
Entity Type:Organization
Organization Name:ERGOFIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DENIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SHCHERBAKOV
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:216-650-5541
Mailing Address - Street 1:3736 AZALEA ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:OH
Mailing Address - Zip Code:44202-7022
Mailing Address - Country:US
Mailing Address - Phone:216-650-5541
Mailing Address - Fax:
Practice Address - Street 1:3736 AZALEA ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:OH
Practice Address - Zip Code:44202-7022
Practice Address - Country:US
Practice Address - Phone:216-650-5541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy