Organization Active NPI

Pisp LLC

  • Rehabilitation Chiropractor
  • Columbus, OH
National Provider Identifier
1063822989
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
3735 Issued in OH
Legal business name
PISP LLC
Practice address
1430 S High St
Columbus, OH 43207-1045
Phone
(614) 517-0213
Fax
(614) 444-5342
NPI assigned
Apr 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Authorized official

Name
Dr. Ajay Syam, DC
Title
Manager
Phone
(614) 517-0213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 3735 OH Primary

Addresses

Primary practice location

1430 S High St
Columbus, OH 43207-1045

Mailing address

1430 S High St
Columbus, OH 43207-1045
Phone (614) 517-0213

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1063822989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071045",
            "telephone_number": "614-517-0213",
            "fax_number": "614-444-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071045",
            "telephone_number": "614-517-0213",
            "fax_number": "614-444-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PISP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "SYAM",
        "authorized_official_first_name": "AJAY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "614-517-0213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OH",
            "license": "3735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.