Sports and Spine Rehab S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SPORTS AND SPINE REHAB S.C.

Doing business as

Sports and Spine Chiropractic

Practice address

39 W. Bankview Dr
Frankfort, IL 60423-3112

Phone

(815) 464-7113

Fax

(815) 464-7192

NPI assigned

Mar 30, 2007

Last updated

Feb 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Aaron Wolfe, D.C.

Title

President

Phone

(815) 464-7113

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sports and Spine Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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.

• Bradley N Katzmann, D.C.

  • Chiropractor
  • Frankfort, IL
  • NPI 1407863798
  Medicare reassignment NPD
• Jacob Garver, ATC

  • Other Specialist/Technologist
  • Frankfort, IL
  • NPI 1730506106
  NPD (past)
• Jawad M Salman

  • Chiropractor
  • Tinley Park, IL
  • NPI 1700440138
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1205956604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BANKVIEW DR",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604233112",
            "telephone_number": "815-464-7113",
            "fax_number": "815-464-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 W. BANKVIEW DR",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604233112",
            "telephone_number": "815-464-7113",
            "fax_number": "815-464-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS AND SPINE REHAB S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-464-7113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL",
            "identifier": "09919991",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports and Spine Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lori A Stanevicius, MHS CCC-SLP
• Robert Preston Stanford, LCPC
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• Jennifer Marie Startz, MSW, LCSW

• Chiropractor in Frankfort, IL
• Providers in Frankfort, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.