STRUCTURAL BASED THERAPY, LLC (NPI# 1700166956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700166956 |
| Entity Type | Organization |
| Organization Name | STRUCTURAL BASED THERAPY, LLC |
| Practice Address |
3719 Old Alabama Rd Suite 400 A Alpharetta GA 30022-8675 |
| Practice Telephone | 6784694133 |
| Mailing Telephone | 6784694133 |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-08-19 |
| Authorized Official Name | DR. MICHAEL ANGELO MAIORINO (PRESIDENT) |
| Authorized Official Telephone | 6784694133 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | X009403-1 | NY | Chiropractic Providers |
| N | 174400000X | Specialist | MT004280 | GA | Other Service Providers |
| Y | 111N00000X | Chiropractor | CHIR008110 | GA | Chiropractic Providers |
| Street Address |
3719 OLD ALABAMA RD SUITE 400 A |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30022-8675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174524904 | Innocent Obi Anyanwutaku | Pharmacist | 3719 Old Alabama Rd, Ste 100, Alpharetta, GA 30022-8676 | 2005-08-02 |
| 1992004196 | Dennis Franklin Staley | Pharmacist | 3719 Old Alabama Rd, Alpharetta, GA 30022-8675 | 2011-03-28 |
| 1144529629 | Alexandra Renata Slone | Pharmacist | 3719 Old Alabama Rd, Alpharetta, GA 30022-8675 | 2011-03-23 |
| 1174768022 | Umang S Shah | Pharmacist | 3719 Old Alabama Rd, Alpharetta, GA 30022-8675 | 2008-12-06 |
| 1306908991 | Daniel A King | Dentist | 3719 Old Alabama Rd, Suite 400b, Alpharetta, GA 30022 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244463 | Youthful Md LLC | Family Medicine | 10595 Old Alabama Rd Con, # 9a, Alpharetta, GA 30022 | 2020-01-13 |
| 1194367185 | Maureen Onyewuenyi | Counselor | 1030 Jones Bridge Road, Suite 301, Johns Creek, GA 30022 | 2019-10-11 |
| 1427543032 | Neal Baker | Counselor | 5755 N Point Pkwy Ste 90, Alpharetta, GA 30022 | 2018-06-26 |
| 1215428685 | Advanced Cosmetic and Family Dentistry, PC | Durable Medical Equipment & Medical Supplies | 4205 North Point Parkway Bldg D, Alpharetta, GA 30022 | 2018-05-22 |
| 1114431541 | Grace Yang | Speech-Language Pathologist | 3207 Beaver Creek Road, Alpharetta, GA 30022 | 2017-11-21 |
| 1881112217 | Brittany Ketchup Hall | Counselor | 2750 Old Alabama Rd Unit 200, Alpharetta, GA 30022 | 2017-09-06 |
| 1154849867 | Fatima Wasim | Psychologist | 5755 N Point Pkwy Ste 79, Alpharetta, GA 30022 | 2017-09-01 |
| 1730602418 | Brian Keith Soles | Pharmacist | 4305 Old Milton Parkway, Alpharetta, GA 30022 | 2017-07-25 |
| 1548718976 | Serenity Life Counseling Center LLC | Community/Behavioral Health | 10068 Parc Sky Cir, Alpharetta, GA 30022 | 2016-09-14 |
| 1487016317 | National Vision, Inc. | Technician/Technologist | 7661 N Point Pwky, Ste 600, Alpharetta, GA 30022 | 2016-03-21 |
| Find all providers in zip 30022 | ||||
| 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 |
|---|---|---|---|---|
| 1124627260 | Jordan Louis Mallamace | Chiropractor | 6110 Mcfarland Station Dr Unit 400, Alpharetta, GA 30004-6806 | 2020-10-20 |
| 1841825122 | Alliance Sports Medicine LLC | Chiropractor | 6110 Mcfarland Station Dr Ste 400, Alpharetta, GA 30004-6801 | 2020-03-07 |
| 1467002501 | Optimal Spine and Body LLC | Chiropractor | 288 S Main St Ste 600, Alpharetta, GA 30009-1983 | 2019-09-19 |
| 1386294593 | Haley Ray | Chiropractor | 2650 Holcomb Bridge Rd Ste 140, Alpharetta, GA 30022-5335 | 2019-09-19 |
| 1962057984 | Max Chiropractic | Chiropractor | 131 Roswell St Ste B101, Alpharetta, GA 30009-1996 | 2019-08-06 |
| 1609334671 | Jenna Williams | Chiropractor | 670 N Main St Ste 111, Alpharetta, GA 30009-2401 | 2019-03-07 |
| 1497224380 | Alpharetta Medical Group, LLC | Chiropractor | 11807 Northfall Ln Ste 901, Alpharetta, GA 30009-7972 | 2018-11-20 |
| 1043794860 | Benjamin Colten | Chiropractor | 131 Roswell St Ste 101, Alpharetta, GA 30009-1909 | 2018-09-18 |
| 1508369372 | Michael William Freeman | Chiropractor | 12389 Crabapple Road, Alpharetta, GA 30004 | 2018-03-17 |
| 1952801110 | Kera Wilson | Chiropractor | 131 Roswell St # B101, Alpharetta, GA 30009-1996 | 2018-02-14 |
| Find all providers in ALPHARETTA | ||||
| City | ALPHARETTA |
| Zip Code | 30022 |
Please comment or provide details below to improve the information on STRUCTURAL BASED THERAPY, 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.