BODY CORE NEUROPATHY & SPINE GROUP (NPI# 1992048136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992048136 |
| Entity Type | Organization |
| Organization Name | BODY CORE NEUROPATHY & SPINE GROUP |
| Practice Address |
3855 Shallowford Rd Suite 510 Marietta GA 30062-4195 |
| Practice Telephone | 7709936010 |
| Practice Fax Number | 7709936011 |
| Mailing Telephone | 7709936010 |
| Mailing Fax Number | 7709936011 |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2013-04-05 |
| Authorized Official Name | DR. ALICIA A CRUSSE (OWNER) |
| Authorized Official Telephone | 7709936010 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
CHIR008654 | GA | Chiropractic Providers |
| Street Address |
3855 SHALLOWFORD RD SUITE 510 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-4195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407038961 | Hilary Kinzler Delman | Counselor | 3855 Shallowford Rd, Suite 420, Marietta, GA 30062-4195 | 2007-11-27 |
| 1891234670 | Brace Mobility | Durable Medical Equipment & Medical Supplies | 3855 Shallowford Rd, Suite 515, Marietta, GA 30062-4195 | 2017-02-14 |
| 1043672678 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 3855 Shallowford Rd, 415, Marietta, GA 30062-4195 | 2016-03-23 |
| 1558760447 | Tyler Gene Miller | Physical Therapist | 3855 Shallowford Rd, Ste 415, Marietta, GA 30062-4195 | 2014-08-18 |
| 1265856025 | Robert Korthoff | Physical Therapist | 3855 Shallowford Rd, Suite 415, Marietta, GA 30062-4195 | 2014-02-13 |
| 1265770275 | Chj, Inc | Social Worker | 3855 Shallowford Rd, Suite 420, Marietta, GA 30062-4195 | 2013-01-25 |
| 1609193598 | Alicia Ann Crusse | Chiropractor | 3855 Shallowford Rd, Suite 510, Marietta, GA 30062-4197 | 2010-04-30 |
| 1952623290 | Wendy H Deal | Counselor | 3855 Shallowford Rd, Suite 420, Marietta, GA 30062-4195 | 2010-02-26 |
| 1386819035 | Tiffany C Whittington | Counselor | 3855 Shallowford Rd, Suite 420, Marietta, GA 30062-4195 | 2008-04-24 |
| 1336318104 | Laura Anderson Graham | Counselor | 3855 Shallowford Rd, Suite 420, Marietta, GA 30062-4195 | 2008-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| 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 |
|---|---|---|---|---|
| 1093088759 | John Michael Ertle | Chiropractor | 1033 Franklin Rd Se Ste C, Marietta, GA 30067-8005 | 2012-02-10 |
| 1306159900 | Back To Genesis Chiropractic, PC | Chiropractor | 3812 Austell Rd Sw, Marietta, GA 30008-5863 | 2010-07-23 |
| 1922202001 | Integrated Health Services | Chiropractor | 3405 Dallas Hwy Sw Ste 301, Marietta, GA 30064-6426 | 2007-06-13 |
| 1023224763 | Gwendolyn M Tutt | Chiropractor | 1714 Paddlewheel Dr, Marietta, GA 30062-3853 | 2007-05-16 |
| 1689798811 | Prosport Wellness Center, LLC | Chiropractor | 2000 Powers Ferry Rd., Suite A, Marietta, GA 30067 | 2007-03-16 |
| 1396875449 | Thaddeus James Layton | Chiropractor | 1226 Franklin Rd Se, Marietta, GA 30067-8702 | 2007-03-07 |
| 1689701153 | Advanta Medical & Physical Therapy | Chiropractor | 1720 Powers Ferry Rd Se, Ste 100, Marietta, GA 30067-5450 | 2007-02-28 |
| 1407983885 | Mitchell Shea Arnold | Chiropractor | 3894 Due West Rd Nw Ste 210, Marietta, GA 30064-1072 | 2007-02-27 |
| 1881770188 | Joseph Vance Haezebrouck | Chiropractor | 3660 Canton Rd, Suite 140, Marietta, GA 30066-2660 | 2006-10-29 |
| 1821174574 | Meirav Ertle | Chiropractor | 1033 Franklin Rd Se, Suite C, Marietta, GA 30067-8060 | 2006-10-27 |
| Find all providers in MARIETTA | ||||
Please comment or provide details below to improve the information on BODY CORE NEUROPATHY & SPINE GROUP.
| 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.