Starting Block Sports Medicine & Rehabilitation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO008613 Issued in GA

Legal business name

STARTING BLOCK SPORTS MEDICINE & REHABILITATION

Practice address

105 Smoke Hill LN
Suite 120
Woodstock, GA 30188-7364

Phone

(678) 436-5866

Fax

(678) 262-3677

NPI assigned

Feb 18, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jeffery Stuart Paul, D.C., A.T.C

Title

President

Phone

(678) 436-5866

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1083936074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SMOKE HILL LN",
            "address_2": "SUITE 120",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301887364",
            "telephone_number": "678-436-5866",
            "fax_number": "678-262-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SMOKE HILL LN",
            "address_2": "SUITE 120",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301887364",
            "telephone_number": "678-436-5866",
            "fax_number": "678-262-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARTING BLOCK SPORTS MEDICINE & REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-436-5866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., A.T.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO008613",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "GA",
            "license": "PT005129",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT001213",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Theresa Stanchev, CSA, CST
• Immari Stanley, LMT
• Glenda Partrece Stansell, D.C.
• Kadi Stapleton
• Haley Stark, D.M.D.
• Erica Sample Stasny, OTR/L
• Stauffer Chiropractic
• Morgan Stauffer, DC
• Stay Grounded Wellness and Consultation Services, LLC
• Rachel Stearns, CNIM

• Chiropractor in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.