BROAD ST PHYSICAL REHAB LLC (NPI# 1467686121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467686121 |
| Entity Type | Organization |
| Organization Name | BROAD ST PHYSICAL REHAB LLC |
| Practice Address |
3072 W Broad St Columbus OH 43204-1302 |
| Practice Telephone | 6147254720 |
| Practice Fax Number | 6147250787 |
| Mailing Telephone | 6147254720 |
| Mailing Fax Number | 6147250787 |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2011-04-07 |
| Authorized Official Name | DR. ROBERT COHEN (MEMBER) |
| Authorized Official Telephone | 6147254720 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1689 | OH | Chiropractic Providers |
| Street Address |
3072 W BROAD ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43204-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134366990 | Anthony Michael Abbruzzese | Chiropractor | 3072 W Broad St, Columbus, OH 43204-1302 | 2009-01-15 |
| 1336434398 | Anita Hughes | Specialist | 3072 W Broad St, Columbus, OH 43204-1302 | 2011-06-17 |
| 1700100864 | Evan M Plante | Chiropractor | 3072 W Broad St, Columbus, OH 43204-1302 | 2010-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215593587 | Raymond Jay Ellis | Technician | 2455 Sullivant Ave, Columbus, OH 43204 | 2019-05-13 |
| 1245791581 | Dedicated Columbus Ohio, LLC | Non-Pharmacy Dispensing Site | 50 North Wilson Road, Columbus, OH 43204 | 2019-03-28 |
| 1770076192 | Morgan Elizabeth Garczyk | Optometrist | 2300 W Broad St Fl 2, Columbus, OH 43204 | 2018-06-11 |
| 1093240731 | Jerusha R Mcclendon | Social Worker | 3188 Mary Ave, Columbus, OH 43204 | 2017-05-01 |
| 1790235588 | American Senior Care Center LLC | Home Health | 3105 W Broad Street, Suite 2, Columbus, OH 43204 | 2016-10-05 |
| 1184082083 | Jordan Fontes | Nurse Practitioner | 2800 West Broad St, Columbus, OH 43204 | 2016-02-05 |
| 1073971248 | John R Sadaghiani | Dentist | 45 N. Wilson Rd, Columbus, OH 43204 | 2016-02-03 |
| 1245615806 | Brittany Muse | Occupational Therapist | 3615 Graybeck Drive, Columbus, OH 43204 | 2015-07-24 |
| 1528453842 | Sadaf Khan | Internal Medicine | 50 N Wilson Road, Columbus, OH 43204 | 2015-04-02 |
| 1053722629 | Kristen Basch | Pharmacist | 4248 Ongaro Dr, Columbus, OH 43204 | 2014-05-16 |
| Find all providers in zip 43204 | ||||
| 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 |
|---|---|---|---|---|
| 1265044002 | Apollo Family Chiropractic LLC | Chiropractor | 3520 Snouffer Rd Ste 202, Columbus, OH 43235-2794 | 2020-08-22 |
| 1417567900 | Bennett Holt | Chiropractor | 3215 22nd St Ste C, Columbus, NE 68601-3181 | 2020-08-09 |
| 1477163244 | Mitchell-lee Wade | Chiropractor | 7646 Schomburg Rd, Columbus, GA 31909-1816 | 2020-08-05 |
| 1174133219 | Britt Chiropractic, LLC | Chiropractor | 2325a Martin Luther King Jr Dr, Columbus, MS 39705-2640 | 2020-08-04 |
| 1417593021 | Cir I | Chiropractor | 3901 E Livingston Ave Ste 102, Columbus, OH 43227-2302 | 2019-11-19 |
| 1093351603 | Cir II | Chiropractor | 2021 E Dublin Granville Rd Ste 145, Columbus, OH 43229-3591 | 2019-11-19 |
| 1184268252 | Clear Chiropractic Columbus, LLC | Chiropractor | 3623 25th St, Columbus, IN 47203-3002 | 2019-11-01 |
| 1386291516 | Joshua Kraig Eversman | Chiropractor | 1550 Old Henderson Rd Ste 160, Columbus, OH 43220-3696 | 2019-08-22 |
| 1801443536 | Carly B Cangelosi | Chiropractor | 6298 Veterans Pkwy Ste 10e, Columbus, GA 31909-6253 | 2019-08-19 |
| 1093376600 | Joseph Benne | Chiropractor | 8922 Lyra Dr, Columbus, OH 43240 | 2019-06-25 |
| Find all providers in COLUMBUS | ||||
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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.