Organization Active NPI

Medina Centerpointe Chiropractic Center Inc

  • Physical Therapist
  • Medina, OH
National Provider Identifier
1063692549
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7881 Issued in OH
Legal business name
MEDINA CENTERPOINTE CHIROPRACTIC CENTER INC
Practice address
4085 N Jefferson St
Medina, OH 44256-5622
Phone
(330) 723-2225
NPI assigned
Nov 13, 2007
Last updated
Oct 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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

Authorized official

Name
Bruno Lou RossiNPI 1144246034
Title
DC
Phone
(330) 723-2225

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
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 7881 OH Primary

Addresses

Primary practice location

4085 N Jefferson St
Medina, OH 44256-5622

Mailing address

4085 N Jefferson St
Medina, OH 44256-5622
Phone (330) 723-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040826000123 OH Part B Supplier - Clinic/Group Practice 7911971791 Receives reassigned benefits from 3 practitioners
Practice locations: Medina, OH

National Provider Directory

National Provider Directory

Locations

4085 N Jefferson St
Medina, OH 44256
Phone (330) 723-2225

Practitioners & affiliated clinicians

Practitioners 5

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": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1063692549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 N JEFFERSON ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565622",
            "telephone_number": "330-723-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4085 N JEFFERSON ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565622",
            "telephone_number": "330-723-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA CENTERPOINTE CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "ROSSI",
        "authorized_official_first_name": "BRUNO",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "330-723-2225"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "7881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.