CHURCH CHIROPRACTIC INC (NPI# 1801057526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801057526 |
Entity Type | Organization |
Organization Name | CHURCH CHIROPRACTIC INC |
Other Organization Name | HEALTHSOURCE OF PUYALLUP |
Practice Address |
1703 S Meridian Suite 301 Puyallup WA 98371-7590 |
Mailing Address |
Po Box 1272 Sumner WA 98390-0250 |
Practice Telephone | 2538414425 |
Mailing Telephone | 2538414425 |
Enumeration Date | 2008-06-25 |
Last Update Date | 2014-11-06 |
Authorized Official Name | DR. MICHAEL L CHURCH (PRESIDENT) |
Authorized Official Telephone | 2538414425 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
CH3323 | WA | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | WORK COMP | 169571 | 01 |
Other Name | Type Code |
---|---|
HEALTHSOURCE OF PUYALLUP | Doing Business As Name - Organization |
Street Address |
1703 S MERIDIAN SUITE 301 |
City | PUYALLUP |
State | WA |
Zip Code | 98371-7590 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831168590 | Donella S Curcio | Physician Assistant | 1703 S Meridian, Ste 101, Puyallup, WA 98371-7590 | 2006-03-15 |
1306394598 | Nari Lee | Chiropractor | 1703 S Meridian, Suite 301, Puyallup, WA 98371-7590 | 2016-09-15 |
1629225024 | Erin S Seefeldt | Ophthalmology | 1703 S Meridian, Ste 101, Puyallup, WA 98371-7590 | 2008-08-27 |
1598979213 | Julius Michaelson Jr. | Obstetrics & Gynecology | 1703 S Meridian, Suite 301, Puyallup, WA 98371-7590 | 2007-05-10 |
1801010053 | Abhishek Agarwal | Internal Medicine | 1703 S Meridian, Ste 305, Puyallup, WA 98371 | 2007-04-12 |
1396873246 | Steven Michael Brady | Ophthalmology | 1703 S Meridian, Suite 101, Puyallup, WA 98371-7590 | 2007-03-01 |
1699817346 | Cascade Eye & Skin Centers PC | Clinic/Center | 1703 S Meridian, Suite 101, Puyallup, WA 98371-7590 | 2007-02-12 |
1033204938 | Cascade Eye & Skin Centers P.C. | Dermatology | 1703 S Meridian, Suite 101, Puyallup, WA 98371 | 2006-10-04 |
1760587612 | Laurel R Harris | Ophthalmology | 1703 S Meridian, Suite 101, Puyallup, WA 98371-7590 | 2006-09-14 |
1912013814 | Robert J Martin | Dermatology | 1703 S Meridian, Suite 101, Puyallup, WA 98371 | 2006-08-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588141550 | Karen Lynn Sorensen | Massage Therapist | 922 Valley Ave Nw Suite 101, Puyallup, WA 98371 | 2018-07-23 |
1487140257 | Bradley Dupea | Specialist/Technologist | 5702 44th St Se, Puyallup, WA 98371 | 2018-07-05 |
1740778695 | Pedraum Heydari | Dentist | 109 N Meridian Suite A, Puyallup, WA 98371 | 2018-04-26 |
1487030359 | Jennifer Block | Dental Hygienist | 601 4th Ave Sw, Puyallup, WA 98371 | 2015-08-03 |
1023423431 | On Your Own Inc. | Registered Nurse | 1602 Peach Park Ln Nw, Puyallup, WA 98371 | 2014-06-24 |
1841614997 | Enrique Somera | Registered Nurse | 1107 29th St Nw, Puyallup, WA 98371 | 2014-02-10 |
1033540893 | Ching Ju Chuang | Dentist | 1002 N. Meridian, Suite 104a, Puyallup, WA 98371 | 2013-12-04 |
1104161876 | Denise L. Vanaman | Registered Nurse | 214 W. Main, Puyallup, WA 98371 | 2012-12-06 |
1336491018 | Tacoma School District | Physical Therapy Assistant | 1721 8th Ave. S.w., Puyallup, WA 98371 | 2012-10-05 |
1275882052 | Robert Francis Saxton | Health Educator | 1121 W. Stewart, Puyallup, WA 98371 | 2012-09-07 |
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Taxonomy Code | 111NR0400X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
Specialization | Rehabilitation |
Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. |
Notes: Source: The American Chiropractic Association (ACA) and the ACA Council on Physiological Therapeutics [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548320039 | Michael Stanley Nader | Chiropractor | 17528 Meridian E, Ste 207, Puyallup, WA 98375-6286 | 2006-12-12 |
1245471036 | Chiropractic Northwest, Inc. | Chiropractor | 11108 Woodland Ave E Ste A, Puyallup, WA 98373-5893 | 2009-03-09 |
1629290705 | Tyren J Bratvold | Chiropractor | 628 3rd St Se, Puyallup, WA 98372-3208 | 2007-05-02 |
1720107212 | Ian B Smith | Chiropractor | 6223 112th St E, Puyallup, WA 98373-4316 | 2007-03-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437783768 | Alyssa Avila | Chiropractor | 902 1st Ave S, Seattle, WA 98134-1204 | 2020-02-25 |
1356828750 | Accident Chiropractic, Pllc | Chiropractor | 1111 W Spruce St Ste 28, Yakima, WA 98902-3263 | 2018-07-27 |
1942719539 | Catelyn J Webber | Chiropractor | 1310 Tillamook St, Walla Walla, WA 99362-4450 | 2017-09-26 |
1851800742 | Peak Performance Physical Therapy, Pllc | Chiropractor | 120 Keene Rd, Richland, WA 99352-8683 | 2017-09-25 |
1093254427 | Matthew Trimner | Chiropractor | 19031 33rd Ave W Ste 315, Lynnwood, WA 98036-4731 | 2017-02-17 |
1265888291 | Miguel Guajardo | Chiropractor | 7131 W Deschutes Ave Ste 102, Kennewick, WA 99336-7801 | 2016-05-09 |
1104281153 | Rielle Hara Gordon | Chiropractor | 1409 5th Avenue, Seattle, WA 98101 | 2015-12-17 |
1912398256 | Thomas Verdoorn | Chiropractor | Dept of Physical Medicine & Rehab, 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2015-02-09 |
1205247749 | Moore Chiropractic, Pllc | Chiropractor | 221 Kenyon St Nw Ste 201, 221 Kenyon St Nw Ste 201, Olympia, WA 98502-4552 | 2014-05-19 |
1215369632 | Christensen Spine and Wellness, LLC | Chiropractor | 284 Lee St Sw Ste 128, Tumwater, WA 98501-4403 | 2013-08-08 |
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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.