STEPHEN RAY PETTAY (NPI# 1821196205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821196205 |
Entity Type | Individual |
Full Name | STEPHEN RAY PETTAY |
Credential | DC |
Practice Address |
1875 Bethel Rd Columbus OH 43220-1869 |
Practice Telephone | 6144510472 |
Practice Fax Number | 6144510882 |
Mailing Telephone | 6144510472 |
Mailing Fax Number | 6144510882 |
Enumeration Date | 2006-09-20 |
Last Update Date | 2011-10-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
976 | OH | Chiropractic Providers |
Street Address |
1875 BETHEL RD |
City | COLUMBUS |
State | OH |
Zip Code | 43220-1869 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740319979 | Arlington Chiropractic Clinic, Inc. | Chiropractor | 1875 Bethel Rd, Columbus, OH 43220-1869 | 2007-03-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558878595 | Rachel Lee Nugen | Nurse Practitioner | 1885 W. Henderson Rd., Upper Arlington, OH 43220 | 2017-12-29 |
1285140871 | Sara J Morgan Murphy | Counselor | 5003 Horizons Dr., Suite 110, Columbus, OH 43220 | 2017-12-19 |
1386150282 | Another Beginning Inc | Pediatrics | 1830 Bethel Rd Ste D, Columbus, OH 43220 | 2017-12-15 |
1205341633 | Sarah Vorhis | Counselor | 5003 Horizons Drive Suite #110, Columbus, OH 43220 | 2017-12-07 |
1689187833 | Kimberly J Bonta | Counselor | 5003 Horizons Drive, Suite 110, Columbus, OH 43220 | 2017-11-09 |
1508383787 | Morgan Allison Dzurko | Behavior Technician | 5000 Arilington Centere Blv Building 2, Upper Arlington, OH 43220 | 2017-08-28 |
1801319504 | Sergei Schneider | Case Manager/Care Coordinator | 1550 Old Henderson Rd. St. 271, Columbus, OH 43220 | 2017-07-25 |
1467904391 | Michael James Nordgren | Specialist/Technologist | 535 Irving Schottenstein Dr., Columbus, OH 43220 | 2016-10-26 |
1588048250 | Kree Blakeman | Behavioral Analyst | 5000 Arlington Centre Boulevard, Columbus, OH 43220 | 2015-07-13 |
1043698699 | Candace Tanoue | Pharmacist | 4530 Kenny Road, Columbus, OH 43220 | 2015-05-15 |
Find all providers in zip 43220 |
Taxonomy Code | 111NS0005X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
Specialization | Sports Physician |
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427189323 | Kevin Patrick Reilly | Chiropractor | 1245 W 5th Ave, Columbus, OH 43212-2507 | 2007-03-09 |
1932217999 | William Earl Roundtree | Chiropractor | 1716 Buena Vista Rd, Columbus, GA 31906-3003 | 2006-08-29 |
1003929688 | David T Ryan | Chiropractor | 6040 Cleveland Ave, Columbus, OH 43231 | 2006-08-16 |
1487688636 | Foothills Wellness Center Inc. | Chiropractor | 2186 Lynn Rd, Columbus, NC 28722-4479 | 2006-07-11 |
1558871566 | Jeffery Phillip Konwinski | Chiropractor | 1217 Grandview Ave, Columbus, OH 43212-3455 | 2017-10-04 |
1003276981 | Brett Christopher Stefan | Chiropractor | 2879 E Dublin Granville Rd, Columbus, OH 43231-4063 | 2016-03-04 |
1952669616 | Reilly Chiropractic | Chiropractor | 1245 W 5th Ave, Columbus, OH 43212-2507 | 2012-05-01 |
1922293869 | Dimensions Chiropractic, Inc. | Chiropractor | 2615 E Dublin Granville Rd, Columbus, OH 43231-4039 | 2007-09-13 |
1982817094 | Steven A Lewis Dc Inc | Chiropractor | 420 S Hamilton Rd, Columbus, OH 43213-2036 | 2007-05-07 |
1174549273 | Joseph Vincent Picone | Chiropractor | 2186 Lynn Rd, Columbus, NC 28722-4479 | 2006-07-14 |
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.