MOMENTUM CHIROPRACTIC, PC (NPI# 1063692630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063692630 |
| Entity Type | Organization |
| Organization Name | MOMENTUM CHIROPRACTIC, PC |
| Practice Address |
24 W Merrick Rd Freeport NY 11520-3827 |
| Practice Telephone | 5163777213 |
| Mailing Telephone | 5163777213 |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2007-11-12 |
| Authorized Official Name | DR. STANLEY S. ANDERSON (PRESIDENT) |
| Authorized Official Telephone | 5163777213 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | X005743 | NY | Chiropractic Providers |
| Street Address |
24 W MERRICK RD |
| City | FREEPORT |
| State | NY |
| Zip Code | 11520-3827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275709073 | Dynamic Core Physical Therapy PC | Clinic/Center | 24 W Merrick Rd, Freeport, NY 11520-3827 | 2008-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881157154 | Barbara Chillemi | Registered Nurse | 56 Mackay Place, Freeport, NY 11520 | 2019-04-12 |
| 1588171631 | Lisa Frank | Nurse Practitioner | 150 Buffalo Ave, Freeport, NY 11520 | 2018-01-10 |
| 1447775838 | Julner Quettant Jr. | Physical Therapist | 63 St Marks Ave, Freeport, NY 11520 | 2017-08-07 |
| 1679003933 | Candice A R Greene | Speech-Language Pathologist | 12 Summers Place, Freeport, NY 11520 | 2017-06-19 |
| 1700310331 | Samantha Edwards | Psychologist | 6 Delisle Avenue, Freeport, NY 11520 | 2017-04-20 |
| 1275073769 | Dorothea Geiger | Behavior Technician | 90 Hillside Ave, Freeport, NY 11520 | 2017-03-02 |
| 1477092575 | Maryhaven Center of Hope,inc | Substance Abuse Rehabilitation Facility | 150 Buffalo Avenue, Freeport, NY 11520 | 2017-02-22 |
| 1861849135 | Daniel Lora | Acupuncturist | 140 Parsons Ave, Freeport, NY 11520 | 2016-05-17 |
| 1326413790 | Beatrice Jeanty | Registered Nurse | 619 South Long Beach Ave., Freeport, NY 11520 | 2015-12-10 |
| 1134505548 | Maria A. Meek | Nurse Practitioner | 334, West Merrick Rd., Freeport., NY 11520 | 2015-08-07 |
| Find all providers in zip 11520 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891354460 | Freeport Chiropractic LLC | Chiropractor | 2 W Stephenson St, Freeport, IL 61032 | 2019-06-07 |
| 1407364755 | Morgan Lightsey-santos | Chiropractor | 17287 Us Highway 331 S, Freeport, FL 32439-4206 | 2018-01-19 |
| 1689804361 | Robert M Fair | Chiropractor | 506 High St, Freeport, PA 16229-1222 | 2009-07-16 |
| 1023244290 | Allies In Health Sc | Chiropractor | 418 W Meadows Dr., Freeport, IL 61032 | 2009-06-02 |
| 1952546707 | Schram Chiropractic Clinic PC | Chiropractor | 1009 Loras Drive, Freeport, IL 61032-6923 | 2008-12-09 |
| 1922139286 | Gregg F Brady | Chiropractor | 144 Kissick Ln, Freeport, PA 16229-1909 | 2007-03-08 |
| 1467592212 | Merritt Lowe Armstrong | Chiropractor | 30 Bow St, Freeport, ME 04032-1517 | 2007-02-08 |
| 1932260387 | Steven R Grunewald | Chiropractor | 1630 S Galena Ave, Ste A, Freeport, IL 61032-2518 | 2006-12-12 |
| 1205994605 | Jeremy Edwin Ronge | Chiropractor | 996 Freeport Rd, Freeport, PA 16229 | 2006-12-05 |
| 1396803771 | Family Health Quest, Sc | Chiropractor | 640 W South St # 1, Freeport, IL 61032-6838 | 2006-12-05 |
| Find all providers in FREEPORT | ||||
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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.