NPIMap

Organization Active NPI

Fairwood Chiropractic & Physical Therapy

  • Chiropractor
  • Toledo, OH
National Provider Identifier
1003112863
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3501 Issued in OH
Legal business name
FAIRWOOD CHIROPRACTIC & PHYSICAL THERAPY
Practice address
5215 Monroe St
Suite 4
Toledo, OH 43623-3190
Phone
(419) 843-1515
Fax
(419) 715-9554
NPI assigned
Jan 26, 2011
Last updated
Jan 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Hythem H Rahman, D.C.NPI 1144370578
Title
Chiropractor / Owner
Phone
(419) 843-1515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3501 OH Primary
Physical Therapist 225100000X PT005336 OH

Addresses

Primary practice location

5215 Monroe St
Suite 4
Toledo, OH 43623-3190

Mailing address

5215 Monroe St
Suite 4
Toledo, OH 43623-3190
Phone (419) 843-1515

Other identifiers 2

IdentifierTypeStateIssuer
3097474MedicaidOH
2487401MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1003112863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 MONROE ST",
            "address_2": "SUITE 4",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233190",
            "telephone_number": "419-843-1515",
            "fax_number": "419-715-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 MONROE ST",
            "address_2": "SUITE 4",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233190",
            "telephone_number": "419-843-1515",
            "fax_number": "419-715-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRWOOD CHIROPRACTIC & PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "HYTHEM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHIROPRACTOR / OWNER",
        "authorized_official_telephone_number": "419-843-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3501",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT005336",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3097474",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2487401",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.