Next Level Sport and Spine LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

3732 Issued in OH

Legal business name

NEXT LEVEL SPORT AND SPINE LLC

Doing business as

Next Level Sport & Spine

Practice address

204 W. High Ave
New Philadelphia, OH 44663

Phone

(330) 440-6700

Fax

(330) 440-6701

NPI assigned

Oct 25, 2017

Organization subpart

No

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

Authorized official

Name

Jeremy R Portmann, DC

Title

Owner

Phone

(330) 440-6700

Specialties & licenses 1

Addresses

Other names 1

• Next Level Sport & Spine Doing business as

Locations

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514246400000",
    "number": "1154833655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W HIGH AVE",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446633812",
            "telephone_number": "330-440-6700",
            "fax_number": "330-440-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W. HIGH AVE",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "44663",
            "telephone_number": "330-440-6700",
            "fax_number": "330-440-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXT LEVEL SPORT AND SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-12-26",
        "status": "A",
        "authorized_official_last_name": "PORTMANN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-440-6700",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OH",
            "license": "3732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Next Level Sport & Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin H Neidig, RPH
• Sarah Macris Netro, M.A. CCC-SLP
• New Philadelphia City Health Dept
• New Philadelphia City Schools
• New Philadelphia SNF Opco LLC
• Troy H. Nguyen, O.D.
• Nicholas V Varrati III
• Linda Nist, PH.D.
• Tonya Novak
• Billy Dean O'Dell

• Medical Specialty Clinic/Center in New Philadelphia, OH
• Providers in New Philadelphia, OH by specialty
• Medical Specialty Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; 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.