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SPINE SPORTS & INDUSTRIAL REHABILITATION INC NPI 1306979232


NPI Information

NPI: 1306979232
Provider Name: SPINE SPORTS & INDUSTRIAL REHABILITATION INC

Other Name: SPINAL & ORTHOPAEDIC MEDICINE ASSOC. INC

Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
Entity Type: Organization
Address:
1335 DUBLIN RD
SUITE 100-A
COLUMBUS, OH
ZIP 43215
Phone: (614) 486-7171
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SPINE SPORTS & INDUSTRIAL REHABILITATION INC is a neuromusculoskeletal medicine omm in Columbus, OH. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. SPINE SPORTS & INDUSTRIAL REHABILITATION INC NPI is 1306979232. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Spinal & Orthopaedic Medicine Assoc. Inc.

The provider's business location address is:

1335 DUBLIN RD
SUITE 100-A
COLUMBUS, OH
ZIP 43215-000
Phone: (614) 486-7171
Fax: (614) 486-9854

The provider's authorized official is Cathy Young .
The authorized official title is Director Of Operations and has the following contact phone number (614) 486-7171.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 2/14/2008.


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
1204D00000XNeuromusculoskeletal Medicine & OMM34006814OHIOYes

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
10849457MEDICARE ID-TYPE UNSPECIFIEDOHIO
2G73879MEDICARE UPINOHIO
32067445MEDICAIDOHIO

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

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