Hyde Park Physical Medicine, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2959 Issued in OH

Legal business name

HYDE PARK PHYSICAL MEDICINE, INC.

Doing business as

Kenwood Rehabilitation

Practice address

8251 Pine Rd
Suite 100
Cincinnati, OH 45236-2191

Phone

(513) 241-4230

Fax

(513) 241-4066

NPI assigned

Sep 8, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Buchanan, DC

Title

Owner

Phone

(513) 241-4230

Specialties & licenses 1

Addresses

Other names 1

• Kenwood Rehabilitation Doing business as

Locations

Practitioners 2

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.

• Andrew Godbey

  • Physical Therapist
  • Xenia, OH
  • NPI 1356682645
  NPD (past)
• Matthew J Klusman, PT

  • Physical Therapist
  • Cincinnati, OH
  • NPI 1275511297
  NPD (past)

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1174924286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8251 PINE RD",
            "address_2": "SUITE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362191",
            "telephone_number": "513-241-4230",
            "fax_number": "513-241-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8251 PINE RD",
            "address_2": "SUITE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362191",
            "telephone_number": "513-241-4230",
            "fax_number": "513-241-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDE PARK PHYSICAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-241-4230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenwood Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hyde Park Counseling Professionals
• Hyde Park Medical Associates, Inc.
• Hyde Park Optometrists, Inc.
• Hyde Park Pediatric Dentistry
• Hyde Park Pediatrics, Inc
• Hyde Park Thyroid and Endocrine LLC
• Emmanuella Hyde-Napoleon
• Kelli Marie Hyde, MSW, BCBA, COBA
• Robert Newcomb Hyde, DPT
• Sara Elaine Hyde

• Chiropractor in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.