KENNEDY CHIROPRACTIC INC. (NPI# 1033379573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033379573 |
| Entity Type | Organization |
| Organization Name | KENNEDY CHIROPRACTIC INC. |
| Practice Address |
1461 W Main St Salem VA 24153-3120 |
| Practice Telephone | 5403759220 |
| Practice Fax Number | 5403759229 |
| Mailing Telephone | 5403759220 |
| Mailing Fax Number | 5403759229 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2013-01-16 |
| Authorized Official Name | DR. PATRICK DAVID KENNEDY (OWNER) |
| Authorized Official Telephone | 5403759220 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
0104555747 | VA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | NOI NUMBER | 1043389828 | 01 |
| VA | NPI NUMBER | 1508935362 | 01 |
| VA | NPI NUMBER | 1093015554 | 01 |
| Street Address |
1461 W MAIN ST |
| City | SALEM |
| State | VA |
| Zip Code | 24153-3120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043389828 | Patrick D Kennedy | Chiropractor | 1461 W Main St, Salem, VA 24153-3120 | 2006-11-07 |
| 1508935362 | Mia M Kennedy | Chiropractor | 1461 W Main St, Salem, VA 24153-3120 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
| 1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
| 1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
| 1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
| 1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
| 1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
| 1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
| 1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
| 1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| Find all providers in zip 24153 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295162006 | Blake Testa | Chiropractor | 2663 12th St Se, Salem, OR 97302-2154 | 2013-10-11 |
| 1437157310 | Eric Paul Williams | Chiropractor | 322 W Schwartz St, Salem, IL 62881-1550 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194281527 | Cpcj Inc | Chiropractor | 4628 Portsmouth Blvd Ste 100, Chesapeake, VA 23321-2106 | 2019-02-11 |
| 1528483229 | Dynamic Rehab and Spine, LLC | Chiropractor | 2380 Plank Rd, A, Fredericksuburg, VA 22401 | 2014-03-04 |
| 1043527989 | Virginia Health Solutions, Inc. | Chiropractor | 815 Middle Ground Blvd, Inside Onelife Fitness, Newport News, VA 23606-4209 | 2010-09-13 |
| 1609182088 | Manassas Spine & Sport PC | Chiropractor | 9210 Lee Ave, Manassas, VA 20110-5513 | 2010-08-24 |
| 1427383835 | Thomas Edward Nonnenmacher | Chiropractor | 9986 Spotswood Trl, Mcgaheysville, VA 22840-2421 | 2009-10-03 |
| 1669629085 | Back In Action Chiropractic Center, P.C. | Chiropractor | 4911 Augusta Ave, Richmond, VA 23230-3601 | 2008-08-27 |
| 1962626838 | Douglas Owen Nagel | Chiropractor | 46960 Cedar Lake Plz, Suite 150, Sterling, VA 20164-8657 | 2007-04-12 |
| 1285787150 | Hirad Najafbagy | Chiropractor | 905 Herndon Pkwy, Suite B, Herndon, VA 20170-5536 | 2007-01-22 |
| 1730231101 | Leanne Fink | Chiropractor | 15b Loudoun St Sw, Leesburg, VA 20175-2908 | 2007-01-17 |
| 1407911316 | Stephen M Erle | Chiropractor | 2380a Plank Rd, Ste A, Fredericksburg, VA 22401-4927 | 2006-12-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.