Organization Active NPI

Bass Chiropractic & Physical Therapy

  • Rehabilitation Chiropractor
  • Springfield, MA
National Provider Identifier
1073704607
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
3120 Issued in MA
Legal business name
BASS CHIROPRACTIC & PHYSICAL THERAPY
Practice address
1145 Main St
Suite 107
Springfield, MA 01103-2143
Phone
(413) 726-0912
Fax
(413) 686-9305
NPI assigned
Aug 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Authorized official

Name
Dr. Bassam Mawla, D.CNPI 1376672014
Title
President
Phone
(413) 726-0912

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
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X 3120 MA Primary

Addresses

Primary practice location

1145 Main St
Suite 107
Springfield, MA 01103-2143

Mailing address

1145 Main St
Suite 107
Springfield, MA 01103-2143
Phone (413) 726-0912

National Provider Directory

National Provider Directory

Locations

1145 Main St
Ste 107
Springfield, MA 01103
Phone (413) 358-0050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1073704607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 MAIN ST",
            "address_2": "SUITE 107",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011032143",
            "telephone_number": "413-726-0912",
            "fax_number": "413-686-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 MAIN ST",
            "address_2": "SUITE 107",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011032143",
            "telephone_number": "413-726-0912",
            "fax_number": "413-686-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASS CHIROPRACTIC & PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "MAWLA",
        "authorized_official_first_name": "BASSAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-726-0912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MA",
            "license": "3120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.