SPINE SPORTS & INDUSTRIAL REHABILITATION INC (NPI# 1306979232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306979232 |
| Entity Type | Organization |
| Organization Name | SPINE SPORTS & INDUSTRIAL REHABILITATION INC |
| Other Organization Name | SPINAL & ORTHOPAEDIC MEDICINE ASSOC. INC |
| Practice Address |
1335 Dublin Rd Suite 100-a Columbus OH 43215-1000 |
| Practice Telephone | 6144867171 |
| Practice Fax Number | 6144869854 |
| Mailing Telephone | 6144867171 |
| Mailing Fax Number | 6144869854 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2008-02-14 |
| Authorized Official Name | MS. CATHY YOUNG (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 6144867171 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 34006814 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2067445 | 05 |
| Other Name | Type Code |
|---|---|
| Spinal & Orthopaedic Medicine Assoc. INC | Other Name - Individual/Organization |
| Street Address |
1335 DUBLIN RD SUITE 100-A |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43215-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598764235 | Douglas J. Paul | Chiropractor | 1335 Dublin Rd, Suite 75-a, Columbus, OH 43215-1000 | 2005-07-15 |
| 1952940629 | Carl Timothy Fallara | Counselor | 1335 Dublin Rd, Columbus, OH 43215-1000 | 2019-12-30 |
| 1972039865 | Anna Faith Moorman | Social Worker | 1335 Dublin Rd, Suite 212 C, Columbus, OH 43215-1000 | 2017-05-11 |
| 1427598036 | Daniel Rogers | Counselor | 1335 Dublin Rd, Columbus, OH 43215-1000 | 2017-03-01 |
| 1124567755 | Daniel Goss | Counselor | 1335 Dublin Rd, Suite 208d, Columbus, OH 43215-1000 | 2017-02-15 |
| 1174061360 | Tramise Hines | Counselor | 1335 Dublin Rd, Suite 208d, Columbus, OH 43215-1000 | 2017-02-07 |
| 1023553419 | The Arc of Ohio | Home Health | 1335 Dublin Rd, Suite 100-a, Columbus, OH 43215-1000 | 2016-12-21 |
| 1861948085 | Diane Delk | Counselor | 1335 Dublin Rd, Suite 216c, Columbus, OH 43215-1000 | 2016-08-28 |
| 1336693639 | Miriam E Aichler | Occupational Therapist | 1335 Dublin Rd, 200b, Columbus, OH 43215-1000 | 2016-08-04 |
| 1578016671 | Barbara Cain | Counselor | 1335 Dublin Rd, Ste 208d, Columbus, OH 43215-1000 | 2016-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912529496 | Ade Elisha | Counselor | 61 West Long St, Columbus, OH 43215 | 2020-05-07 |
| 1073140083 | Ryan Jeffrey Stone | Student in an Organized Health Care Education/Training Program | 393 E. Town Street, #116, Columbus, OH 43215 | 2020-03-27 |
| 1316572316 | Covermymeds Specialty Pharmacy LLC | Pharmacy | 2 Miranova Pl 10th Fl, Suite 101, Columbus, OH 43215 | 2020-03-10 |
| 1902443807 | Nicole Marie Thompson | Social Worker | Southeast, Inc., 16 W Long St, Columbus, OH 43215 | 2019-12-10 |
| 1043852858 | Rachel Therese James | Licensed Practical Nurse | 1380 Dublin Rd Suite 100, Columbus, OH 43215 | 2019-10-14 |
| 1447804737 | Remington-davis, Inc. | Specialist | 1335 Dublin Road, Suite 106a, Columbus, OH 43215 | 2019-07-25 |
| 1346892619 | Nicole Nuxol Talley | Nurse Practitioner | 1335 Dublin Rd Ste 124-d, Columbus, OH 43215 | 2019-07-16 |
| 1730650664 | Sierra N White | Marriage & Family Therapist | 399 E. Main Street, Columbus, OH 43215 | 2018-12-17 |
| 1043798937 | David Benjamin Blankenbeckley | Nurse Practitioner | 3 Nationwide Plz Ste 150, Columbus, OH 43215 | 2018-08-01 |
| 1891272795 | Tiffany Mindigo | Nurse Practitioner | 1335 Dublin Rd Ste 114e, Columbus, OH 43215 | 2018-07-24 |
| Find all providers in zip 43215 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| 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. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316113491 | Adam Nicholas Ueberroth | Neuromusculoskeletal Medicine & OMM | 931 Chatham Ln, Ste. 200, Columbus, OH 43221-2417 | 2008-05-07 |
| 1891822011 | J. John Bock I | Neuromusculoskeletal Medicine & OMM | 3555 Olentangy River Rd, Columbus, OH 43214-3912 | 2007-02-27 |
| 1427095942 | Theodore R. Jordan | Neuromusculoskeletal Medicine & OMM | 5131 Beacon Hill Rd, Suite 200a, Columbus, OH 43228-4442 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023561941 | Eastshore Medical Center LLC | Neuromusculoskeletal Medicine & OMM | 26300 Euclid Ave Ste 333, Euclid, OH 44132-3702 | 2016-07-27 |
| 1144681560 | Zhan Tao Yang | Neuromusculoskeletal Medicine & OMM | 4180 Warrensville Center Rd Bldg A5th, Warrensville Heights, OH 44122-7024 | 2016-03-11 |
| 1548691157 | Thomas C Lin | Neuromusculoskeletal Medicine & OMM | 845 Atalan Trl, Lima, OH 45805-4128 | 2013-12-06 |
| 1548543069 | Yasser Salam | Neuromusculoskeletal Medicine & OMM | 2569 Palmer Cir, Avon, OH 44011-2048 | 2011-09-21 |
| 1548598469 | Simeon Hain | Neuromusculoskeletal Medicine & OMM | 2434 Richmiller Ln Unit E, Belpre, OH 45714-1075 | 2009-12-04 |
| 1730318429 | Mark Thomas Finneran | Neuromusculoskeletal Medicine & OMM | 886 Woodmere, Wooster, OH 44691 | 2009-07-02 |
| 1639326804 | Anna K Wright | Neuromusculoskeletal Medicine & OMM | 26 E Park Dr Ste 115, Athens, OH 45701-5003 | 2008-08-19 |
| 1063500932 | Andreas Herbert Syllaba | Neuromusculoskeletal Medicine & OMM | 1301 Mattec Dr, Loveland, OH 45140-7300 | 2006-10-10 |
| 1164529061 | Charles E Steiner, Do, Inc. | Neuromusculoskeletal Medicine & OMM | 2364 Blizzard Ln Ste A, Albany, OH 45710-9287 | 2006-09-20 |
| 1851498281 | Katrina Cisaruk Rakowsky | Neuromusculoskeletal Medicine & OMM | 4100 Warrensville Center Road, Suite 102, Warrensville Heights, OH 44122-7099 | 2006-09-20 |
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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.