Organization Active NPI

Prohealth Chiropractic & Rehabilitation, LLC

  • Chiropractor
  • Ludlow, MA
National Provider Identifier
1013064716
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3061 Issued in MA
Legal business name
PROHEALTH CHIROPRACTIC & REHABILITATION, LLC
Practice address
360 Sewall St
Ludlow, MA 01056-2711
Phone
(413) 589-1110
Fax
(413) 589-1112
NPI assigned
Jan 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kristina Milik Kowalski, D.C.NPI 1831167774
Title
Member
Phone
(413) 589-1110

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3061 MA Primary

Addresses

Primary practice location

360 Sewall St
Ludlow, MA 01056-2711

Mailing address

360 Sewall St
Ludlow, MA 01056-2711
Phone (413) 589-1110

National Provider Directory

National Provider Directory

Locations

30 Chestnut St
Ludlow, MA 01056
Phone (413) 589-1110

360 Sewall St
Ludlow, MA 01056
Phone (413) 219-3109

Practitioners & affiliated clinicians

Practitioners 1

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": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013064716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SEWALL ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010562711",
            "telephone_number": "413-589-1110",
            "fax_number": "413-589-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SEWALL ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010562711",
            "telephone_number": "413-589-1110",
            "fax_number": "413-589-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH CHIROPRACTIC & REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOWALSKI",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "MILIK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "413-589-1110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludlow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.