Healthcare Provider Details

I. General information

NPI: 1568379071
Provider Name (Legal Business Name): EASTSIDE ACCIDENT REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3690 ORANGE PL STE 270
BEACHWOOD OH
44122-4438
US

IV. Provider business mailing address

487 N ASHWOOD LN
PAINESVILLE OH
44077-6165
US

V. Phone/Fax

Practice location:
  • Phone: 216-440-0472
  • Fax:
Mailing address:
  • Phone: 216-440-0472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. NICHOLAS J GATTO
Title or Position: OWNER/CHIROPRACTOR
Credential: DC
Phone: 216-440-0472