SPINE AND SPORTS CHIROPRACTIC CARE OF CONNECTICUT, LLC (NPI# 1184777666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184777666 |
| Entity Type | Organization |
| Organization Name | SPINE AND SPORTS CHIROPRACTIC CARE OF CONNECTICUT, LLC |
| Practice Address |
220 Farmington Ave Farmington CT 06032-1949 |
| Mailing Address |
336 E Hill Rd Canton CT 06019-2119 |
| Practice Telephone | 8602693225 |
| Mailing Telephone | 8606938567 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2013-10-20 |
| Authorized Official Name | DR. ERIC HENRY VINCENT (PRESIDENT) |
| Authorized Official Telephone | 8602693225 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 001504 | CT | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | MEDICARE GROUP PIN | C03646 | 01 |
| Street Address |
220 FARMINGTON AVE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032-1949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629075817 | Dennis Lee Rosati | Physical Medicine & Rehabilitation | 220 Farmington Ave, Farmington, CT 06032 | 2005-07-01 |
| 1124355946 | Kendall B Dyer | Dietitian, Registered | 220 Farmington Ave, Farmington, CT 06032 | 2009-11-16 |
| 1700071313 | Connecticut Pain Care, P.C. | Specialist | 220 Farmington Ave, Farmington, CT 06032-1949 | 2007-09-07 |
| 1093913022 | Kimberly R Perrotta | Occupational Therapist | 220 Farmington Ave, Farmington, CT 06032-1949 | 2007-07-11 |
| 1972713162 | Spine & Pain Rehabilitation Center, P.C. | Chiropractor | 220 Farmington Ave, Farmington, CT 06032-1949 | 2007-05-23 |
| 1710949524 | Eric Henry Vincent | Chiropractor | 220 Farmington Ave, Farmington, CT 06032-1949 | 2006-04-05 |
| 1861471575 | Gary F Ierna | Chiropractor | 220 Farmington Ave, Farmington, CT 06032-1949 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508499435 | Kelsey Erin Boyne | Student in an Organized Health Care Education/Training Program | 200 Academic Way, Farmington, CT 06032 | 2020-02-19 |
| 1760024723 | Baliram Maraj | Dentist | 801 Plainville Ave., Farmington, CT 06032 | 2019-10-11 |
| 1770144958 | Dominique Feterman Jimenez | Student in an Organized Health Care Education/Training Program | Internal Medicine Associates Outpatient Pavilion 2 West, 263 Farmington Avenue, Farmington, CT 06032 | 2019-06-27 |
| 1033770698 | Tiffany Otto | Nurse Practitioner | 27o Farmington Avenue, # 309, Farmington, CT 06032 | 2019-06-25 |
| 1124683941 | Aleksandra M Sliwinska | Student in an Organized Health Care Education/Training Program | Uconn Health Im Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1922663889 | Sean Ag Harford | Student in an Organized Health Care Education/Training Program | Uconn Health - Internal Medicine Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1710450507 | Kathy Jean Campbell | Occupational Therapist | 10 Birdseye Rd, Farmington, CT 06032 | 2019-01-04 |
| 1790273373 | Cameron Seymour | Dentist | 291 Farmington Ave Ste 5, Farmington, CT 06032 | 2018-04-29 |
| 1881181790 | Robin L Shahverdian LLC | Counselor | 304 Main St Ste D428, Farmington, CT 06032 | 2018-04-16 |
| 1588160998 | Sight Sensory Rehabilitation Center, Pllc | Optometrist | 10 Birdseye Road, Farmington, CT 06032 | 2018-04-04 |
| Find all providers in zip 06032 | ||||
| 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 |
|---|---|---|---|---|
| 1184237794 | Jennifer Beisker | Chiropractor | 2700 Farmington Ave Bldg A, Farmington, NM 87401-4550 | 2020-08-25 |
| 1841756806 | Jason Painter | Chiropractor | 473 W Bourne Cir Ste 3, Farmington, UT 84025-3655 | 2019-02-14 |
| 1174011167 | Jessica Keesling | Chiropractor | 18556 Pilot Knob Rd Ste 102, Farmington, MN 55024-8679 | 2018-04-25 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1760997506 | Upper Cervical Clinic of Northwest Arkansas | Chiropractor | 110 Saratoga Way Ste 5, Farmington, AR 72730-2908 | 2017-12-01 |
| 1265959886 | Muscle Works Chiropractic LLC | Chiropractor | 491 W Bourne Cir Ste 1, Farmington, UT 84025-3650 | 2017-08-24 |
| 1447707955 | Joseph Daniel Levie | Chiropractor | 63 N. Main Street, Farmington, UT 84025 | 2016-09-01 |
| 1053719328 | Bryan Thompson | Chiropractor | 63 North Main Street, Farmington, UT 84025-8402 | 2014-12-18 |
| 1427395219 | Aaron C. Howe | Chiropractor | 19685 Pilot Knob Rd Ste 260, Farmington, MN 55024-7238 | 2013-01-14 |
| 1053680991 | Annie Lee Mickelson | Chiropractor | 20700 Chippendale Ave Suite 7, Farmington, MN 55024 | 2011-12-21 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 06032 |
Please comment or provide details below to improve the information on SPINE AND SPORTS CHIROPRACTIC CARE OF CONNECTICUT, LLC.
| 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.