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SPORT & SPINE REHAB OF COLUMBIA NPI 1124230966


NPI Information

NPI: 1124230966
Provider Name: SPORT & SPINE REHAB OF COLUMBIA
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
10760 HICKORY RIDGE ROAD
119
COLUMBIA, MD
ZIP 21044
Phone: (410) 964-0837
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SPORT & SPINE REHAB OF COLUMBIA is a chiropractor in Columbia, MD. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. SPORT & SPINE REHAB OF COLUMBIA NPI is 1124230966. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10760 HICKORY RIDGE ROAD
119
COLUMBIA, MD
ZIP 21044
Phone: (410) 964-0837

The provider's authorized official is Jay S Greenstein .
The authorized official title is Ceo and has the following contact phone number (410) 964-0837.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225100000XPhysical TherapistNo
2111N00000XChiropractorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12103322OTHERALLIANCE
2200289OTHERASHN CIGNA HMO
3G921OTHERBCBS OF NCA
42103322OTHERMDIPA
5KEG7SPOTHERBCBS OF MD
6=========OTHERKAISER MID ATLANTIC
7200064OTHERCIGNA PPO
82103322OTHEROPTIMUM CHOICE
93348462OTHERAETNA HMO
10=========OTHERUNITED HEALTH CARE
11=========OTHERGOLDEN RULE
122103322OTHERMAMSI
134535854OTHERAETNA PPO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.