NPIMap

Organization Active NPI

Embodiment Institute LLC

  • Chiropractor
  • Northampton, MA
National Provider Identifier
1144645748
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2074 Issued in MA
Legal business name
EMBODIMENT INSTITUTE LLC
Practice address
16 Center St
Suite 323
Northampton, MA 01060-3589
Phone
(413) 582-9111
Fax
(413) 582-0333
NPI assigned
Feb 19, 2014
Last updated
Feb 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Authorized official

Name
Dr. Mark Matthew Tanny, DCNPI 1669541892
Title
Doctor
Phone
(413) 582-9111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2074 MA Primary

Addresses

Primary practice location

16 Center St
Suite 323
Northampton, MA 01060-3589

Mailing address

16 Center St
Suite 323
Northampton, MA 01060-3589
Phone (413) 582-9111

National Provider Directory

National Provider Directory

Locations

16 Center St
Ste 323
Northampton, MA 01060
Phone (413) 582-9111

Practitioners & affiliated clinicians

Practitioners 1

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": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1144645748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CENTER ST",
            "address_2": "SUITE 323",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603589",
            "telephone_number": "413-582-9111",
            "fax_number": "413-582-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CENTER ST",
            "address_2": "SUITE 323",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603589",
            "telephone_number": "413-582-9111",
            "fax_number": "413-582-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODIMENT INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "TANNY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "413-582-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.