Organization Active NPI

Dr. Sally Blossom Colosky, PLLC

  • Chiropractor
  • Bay City, MI
National Provider Identifier
1114784113
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR. SALLY BLOSSOM COLOSKY, PLLC
Practice address
200 S Wenona St Ste 250
Bay City, MI 48706-8825
Phone
(989) 316-2154
NPI assigned
Mar 5, 2024
Organization subpart
Yes
Parent organization
DR. SALLY BLOSSOM COLOSKY, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Sally Blossom Colosky, DC
Title
Owner/Chiropractor
Phone
(989) 316-2154

Specialties & licenses 1

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

Addresses

Primary practice location

200 S Wenona St Ste 250
Bay City, MI 48706-8825

Mailing address

200 S Wenona St Ste 250
Bay City, MI 48706-8825
Phone (989) 316-2154

Other names 2

  • Blossom Into Health Doing business as
  • Blossom Into Health Chiropractic Doing business as

National Provider Directory

National Provider Directory
Part of
Dr Sally Blossom Colosky PLLC

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": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1114784113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S WENONA ST STE 250",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487068825",
            "telephone_number": "989-316-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S WENONA ST STE 250",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487068825",
            "telephone_number": "989-316-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SALLY BLOSSOM COLOSKY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. SALLY BLOSSOM COLOSKY, PLLC",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "COLOSKY",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "BLOSSOM",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "989-316-2154",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blossom Into Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blossom Into Health Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.