NPIMap

Organization Active NPI

Advanced Spinal Therapy and Chiropractic Care, PLLC

  • Sports Physician Chiropractor
  • Thornwood, NY
National Provider Identifier
1205084241
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
X010814 Issued in NY
Legal business name
ADVANCED SPINAL THERAPY AND CHIROPRACTIC CARE, PLLC
Doing business as
Chiropractic and Wellness Care
Practice address
879 Commerce St
Thornwood, NY 10594-1415
Phone
(914) 747-9200
Fax
(914) 747-4406
NPI assigned
Sep 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Authorized official

Name
Dr. Michael Anthony McKeown, D.C.
Title
Owner
Phone
(914) 747-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X X010814 NY Primary

Addresses

Primary practice location

879 Commerce St
Thornwood, NY 10594-1415

Mailing address

879 Commerce St
Thornwood, NY 10594-1415
Phone (914) 747-9200

Other identifiers 1

IdentifierTypeStateIssuer
6503150001OtherNYPTAN

Other names 1

  • Chiropractic and Wellness Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1205084241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 COMMERCE ST",
            "city": "THORNWOOD",
            "state": "NY",
            "postal_code": "105941415",
            "telephone_number": "914-747-9200",
            "fax_number": "914-747-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 COMMERCE ST",
            "city": "THORNWOOD",
            "state": "NY",
            "postal_code": "105941415",
            "telephone_number": "914-747-9200",
            "fax_number": "914-747-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPINAL THERAPY AND CHIROPRACTIC CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "MCKEOWN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-747-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X010814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "6503150001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic and Wellness Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thornwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.