Integrative Health and Sports Performance, LLC
Organization Active NPI Chiropractor · Bellbrook, OH
NPI 1225311772 · NPPES record last updated Aug 25, 2020
Key facts
- NPI
- 1225311772
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4198 (OH)
- Legal business name
- INTEGRATIVE HEALTH AND SPORTS PERFORMANCE, LLC
- Practice address
- 4299 Sugarcreek Dr
Bellbrook, OH 45305-1330 - Phone
- (937) 848-8500
- Fax
- (937) 848-9500
- NPI assigned
- Sep 21, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Nicholas Curry, DC
- Title
- Owner
- Phone
- (937) 848-8500
Practitioners 7
-
Elise H Bealer, DC
-
Nicholas Curry, D.C.
-
Bruce A Brown, D.C.
-
Tyler T Lanning, D.C.
-
Matthew D Roberts, D.C.
-
Joshua A Ross, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260528004207 | OH | Part B Supplier - Clinic/Group Practice | 6406326693 |
Receives reassigned benefits from 2 practitioners Practice locations: Bellbrook, OH |
National Provider Directory
Locations
2955 Exchange Place Blvd
Ste 103
Miamisburg, OH 45342
Phone (937) 848-8500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 4198 | OH | Yes |
Addresses
Primary practice location
4299 Sugarcreek Dr
Bellbrook, OH 45305-1330
Mailing address
4299 Sugarcreek Dr
Bellbrook, OH 45305-1330
Phone (937) 848-8500
Other names
- Sugarcreek Chiropractic
Other providers in Bellbrook, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.