Individual provider Active NPI

Malia Rachelle Gunselman, D.C.

  • Chiropractor
  • Akron, OH
National Provider Identifier
1245577337
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4350 Issued in OH
Practice address
3333 Massillon Rd
Suite 206
Akron, OH 44312-5981
Phone
(330) 896-2030
Fax
(330) 899-0527
NPI assigned
Jan 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4350 OH Primary

Addresses

Primary practice location

3333 Massillon Rd
Suite 206
Akron, OH 44312-5981

Mailing address

3333 Massillon Rd
Suite 206
Akron, OH 44312-5981
Phone (330) 896-2030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130227000313 OH Practitioner - Chiropractic 4688829435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soul Purpose Wellness, LLCGroup PAC ID 4981092277, 2 clinicians

Practice addresses (Care Compare)

1392 High St
Suite 210
Wadsworth, OH 44281-8262
Phone (330) 408-3063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4350OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Soul Purpose Wellness, LLC Chiropractor CurrentSince Oct 1, 2021 Accepting new patients
Rise Chiropractic and Wellness Chiropractor PastSince Oct 1, 2023 Accepting new patients

Locations

1392 High St
Ste 210
Wadsworth, OH 44281
Phone (330) 334-5674

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1245577337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 MASSILLON RD",
            "address_2": "SUITE 206",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125981",
            "telephone_number": "330-896-2030",
            "fax_number": "330-899-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 MASSILLON RD",
            "address_2": "SUITE 206",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125981",
            "telephone_number": "330-896-2030",
            "fax_number": "330-899-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNSELMAN",
        "first_name": "MALIA",
        "middle_name": "RACHELLE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.