NPIMap

Organization Active NPI

Graceland Chiropractic, LLC

Doing business as Worthington Physical Therapy and Rehab

  • Chiropractor
  • Columbus, OH
National Provider Identifier
1144499880
Registry record updated Feb 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GRACELAND CHIROPRACTIC, LLC
Doing business as
Worthington Physical Therapy and Rehab
Practice address
7955 N High St
Columbus, OH 43235-1423
Phone
(614) 436-2225
Fax
(614) 436-2220
NPI assigned
Feb 27, 2008
Last updated
Feb 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2018

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

Authorized official

Name
Dr. Dean Ashley Haldeman, D.C.NPI 1386662310
Title
Owner, Operator, Physician
Phone
(614) 436-2225

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

7955 N High St
Columbus, OH 43235-1423

Mailing address

7955 N High St
Columbus, OH 43235-1423
Phone (614) 436-2225

Other identifiers 2

IdentifierTypeStateIssuer
HA4116562OtherOHMEDICARE
2550529MedicaidOH

Other names 1

  • Worthington Physical Therapy and Rehab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080528000233 OH Part B Supplier - Clinic/Group Practice 7214007624 Receives reassigned benefits from 3 practitioners
Practice locations: Columbus, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517961600000",
    "number": "1144499880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7955 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351423",
            "telephone_number": "614-436-2225",
            "fax_number": "614-436-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7955 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351423",
            "telephone_number": "614-436-2225",
            "fax_number": "614-436-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACELAND CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2018-02-07",
        "status": "A",
        "authorized_official_last_name": "HALDEMAN",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER, OPERATOR, PHYSICIAN",
        "authorized_official_telephone_number": "614-436-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "HA4116562",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2550529",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Worthington Physical Therapy and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.