Stephens Pain Recovery Center, Inc.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

2156 Issued in OH

Legal business name

STEPHENS PAIN RECOVERY CENTER, INC.

Practice address

8961 State Route 14
Streetsboro, OH 44241-5625

Phone

(330) 626-4300

Fax

(330) 626-4919

NPI assigned

Nov 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John M Stephens, D.C.NPI 1275671661

Title

Owner

Phone

(330) 626-4300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

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

• John M Stephens, DC

  • Chiropractor
  • Streetsboro, OH
  • NPI 1275671661
  Medicare reassignment NPD Authorized official
• Beverly Nicole McGinnis, DPT

  • Physical Therapist
  • Parkersburg, WV
  • NPI 1477735090
  NPD (past)

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1104008572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8961 STATE ROUTE 14",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442415625",
            "telephone_number": "330-626-4300",
            "fax_number": "330-626-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8961 STATE ROUTE 14",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442415625",
            "telephone_number": "330-626-4300",
            "fax_number": "330-626-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHENS PAIN RECOVERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-626-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OH",
            "license": "2156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157191",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faye Marie Sparks
• Brandy Spencer
• Shannon Spivery, M.A. CCC-SLP
• Danielle Stelbasky
• Halle F Stelbasky, CF-SLP
• John M Stephens, DC
• Tanisha R Stevens, LPN
• Gwen Stewart, CNP, WHNP-BC
• Streesboro City Schools
• Streetsboro Chiropractic Clinic

• Rehabilitation Chiropractor in Streetsboro, OH
• Providers in Streetsboro, OH by specialty
• Rehabilitation Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.