NPIMap

Organization Active NPI

West Broad Injury & Rehab Center

Doing business as Tri-County Injury & Rehab Center

  • Chiropractor
  • Reynoldsburg, OH
National Provider Identifier
1073711297
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3331 Issued in OH
Legal business name
WEST BROAD INJURY & REHAB CENTER
Doing business as
Tri-County Injury & Rehab Center
Practice address
7634 Slate Ridge Blvd
Reynoldsburg, OH 43068-8159
Phone
(614) 367-1203
Fax
(614) 367-1204
NPI assigned
Jul 10, 2007
Last updated
Dec 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Authorized official

Name
Dr. Brian P Scheetz, D.C.NPI 1861555021
Title
Owner
Phone
(614) 367-1203

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3331 OH Primary

Addresses

Primary practice location

7634 Slate Ridge Blvd
Reynoldsburg, OH 43068-8159

Mailing address

7634 Slate Ridge Blvd
Reynoldsburg, OH 43068-8159
Phone (614) 367-1203

Other names 1

  • Tri-County Injury & Rehab Center Doing business as

National Provider Directory

National Provider Directory

Locations

7634 Slate Ridge Blvd
Reynoldsburg, OH 43068
Phone (614) 367-1203

7634 Slate Ridge Blvd
Ste C
Reynoldsburg, OH 43068

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": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1073711297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7634 SLATE RIDGE BLVD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430688159",
            "telephone_number": "614-367-1203",
            "fax_number": "614-367-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7634 SLATE RIDGE BLVD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430688159",
            "telephone_number": "614-367-1203",
            "fax_number": "614-367-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BROAD INJURY & REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "SCHEETZ",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-367-1203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-County Injury & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tri-County Injury & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.