Sports Performance and Spine, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

DC009953 Issued in PA

Legal business name

SPORTS PERFORMANCE AND SPINE, LLC

Practice address

4491 School Rd S
Murrysville, PA 15632-1809

Phone

(724) 519-8261

NPI assigned

Apr 29, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Amanda M Zimmerman, DC, CCSPNPI 1366600025

Title

Owner/Chiropractor

Phone

(724) 519-8261

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

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

• Amanda M Zimmerman, D.C.

  • Chiropractor
  • Murrysville, PA
  • NPI 1366600025
  Medicare reassignment NPD Authorized official
• Michael Robert Baleno, D.C.

  • Chiropractor
  • Monroeville, PA
  • NPI 1134241250
  Medicare reassignment NPD
• Caitlin Jordan, DC

  • Chiropractor
  • Gibsonia, PA
  • NPI 1073001087
  Medicare reassignment NPD
• Breanna Rae Schall, DC

  • Chiropractor
  • Leechburg, PA
  • NPI 1083187900
  Medicare reassignment NPD

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1104236264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4491 SCHOOL RD S",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156321809",
            "telephone_number": "724-519-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4491 SCHOOL RD S",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156321809",
            "telephone_number": "724-519-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS PERFORMANCE AND SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "724-519-8261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, CCSP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "DC009953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Leigh Smith
• Harry C Snyder, DPM
• Mark N Snyder, MA
• Kenneth Sowinski, L.OM.
• Trisha L Spece, MS CCC-SLP
• Sports Performance and Spine, LLC
• Donna Weber Stasko, RN
• Stellar Physical Therapy, LLC
• Alexa Stern, LCSW
• Debra Stoll, LPC

• Clinic/Center in Murrysville, PA
• Providers in Murrysville, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.