Provider Demographics
NPI:1992845879
Name:OVERLOAD PHYSICAL THERAPY, LTD
Entity Type:Organization
Organization Name:OVERLOAD PHYSICAL THERAPY, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:TOMASZEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:ATC, CSCS, MS
Authorized Official - Phone:216-292-7569
Mailing Address - Street 1:24200 CHAGRIN BLVD
Mailing Address - Street 2:SUITE 60
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5550
Mailing Address - Country:US
Mailing Address - Phone:216-292-7569
Mailing Address - Fax:216-292-7612
Practice Address - Street 1:24200 CHAGRIN BLVD
Practice Address - Street 2:SUITE 60
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5550
Practice Address - Country:US
Practice Address - Phone:216-292-7569
Practice Address - Fax:216-292-7612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy