Organization Active NPI

Cheatle Chiropractic & Rehab Center

  • Rehabilitation Chiropractor
  • Massillon, OH
National Provider Identifier
1104037902
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
2715 Issued in OH
Legal business name
CHEATLE CHIROPRACTIC & REHAB CENTER
Practice address
2315 Lincoln Way E
Massillon, OH 44646-7063
Phone
(330) 833-7007
Fax
(330) 833-7541
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jason A Cheatle, D.CNPI 1487753570
Title
Owner
Phone
(330) 833-7007

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: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 2715 OH Primary

Addresses

Primary practice location

2315 Lincoln Way E
Massillon, OH 44646-7063

Mailing address

2315 Lincoln Way E
Massillon, OH 44646-7063
Phone (330) 833-7007

Other identifiers 1

IdentifierTypeStateIssuer
2068499MedicaidOH

National Provider Directory

National Provider Directory

Locations

2315 Lincoln Way E
Massillon, OH 44646
Phone (216) 833-7007

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": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104037902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 LINCOLN WAY E",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446467063",
            "telephone_number": "330-833-7007",
            "fax_number": "330-833-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 LINCOLN WAY E",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446467063",
            "telephone_number": "330-833-7007",
            "fax_number": "330-833-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEATLE CHIROPRACTIC & REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHEATLE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-833-7007",
        "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": "2715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2068499",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.