NPIMap

Organization Active NPI

Chiropractic and Physical Therapy Centers of Ohio-Forest Park

  • Chiropractor
  • Cincinnati, OH
National Provider Identifier
1083774020
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2356 Issued in OH
Legal business name
CHIROPRACTIC AND PHYSICAL THERAPY CENTERS OF OHIO-FOREST PARK
Practice address
1108 Kemper Meadow Dr
Cincinnati, OH 45240-4117
Phone
(513) 620-8191
Fax
(513) 620-8194
NPI assigned
Dec 11, 2006
Last updated
Nov 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Mrs. Karla Talledo
Title
Billing Specialist
Phone
(614) 801-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2356 OH Primary

Addresses

Primary practice location

1108 Kemper Meadow Dr
Cincinnati, OH 45240-4117

Mailing address

3683 Garden CT
Grove City, OH 43123-2906
Phone (614) 277-1248

National Provider Directory

National Provider Directory

Locations

1108 Kemper Meadow Dr
Cincinnati, OH 45240
Phone (513) 620-8191

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1083774020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3683 GARDEN CT",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232906",
            "telephone_number": "614-277-1248",
            "fax_number": "614-801-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 KEMPER MEADOW DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452404117",
            "telephone_number": "513-620-8191",
            "fax_number": "513-620-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC AND PHYSICAL THERAPY CENTERS OF OHIO-FOREST PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "TALLEDO",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "614-801-1307",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.