Organization Active NPI

Mount Kisco Physical Therapy & Chiropractic PLLC

  • Chiropractor
  • Mount Kisco, NY
National Provider Identifier
1144843699
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MOUNT KISCO PHYSICAL THERAPY & CHIROPRACTIC PLLC
Practice address
103 S Bedford Rd Ste 109
Mount Kisco, NY 10549-3452
Phone
(914) 241-8000
Fax
(914) 241-3547
NPI assigned
May 19, 2020
Last updated
May 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Authorized official

Name
Mr. Louis Frank Campbell, DCNPI 1619906617
Title
Owner/Administrator
Phone
(914) 523-2878

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

103 S Bedford Rd Ste 109
Mount Kisco, NY 10549-3452

Mailing address

103 S Bedford Rd Ste 109
Mount Kisco, NY 10549-3452
Phone (914) 241-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.mkminjurycare.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201128000036 NY Part B Supplier - Clinic/Group Practice 4789095613 Receives reassigned benefits from 3 practitioners
Practice locations: Mount Kisco, NY; Pleasant Valley, NY

National Provider Directory

National Provider Directory

Locations

280 N Bedford Rd
Ste 206
Mount Kisco, NY 10549
Phone (914) 241-8000

Practitioners & affiliated clinicians

Practitioners 3

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": "1589846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1144843699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S BEDFORD RD STE 109",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493452",
            "telephone_number": "914-241-8000",
            "fax_number": "914-241-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S BEDFORD RD STE 109",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493452",
            "telephone_number": "914-241-8000",
            "fax_number": "914-241-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT KISCO PHYSICAL THERAPY & CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "914-523-2878",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.mkminjurycare.com",
            "affiliation": "N",
            "address_1": "103 S Bedford Rd Ste 109",
            "city": "Mount Kisco",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105493452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.