Swetlic Chiropractic & Rehabilitation Center, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1259 Issued in OH

Legal business name

SWETLIC CHIROPRACTIC & REHABILITATION CENTER, INC

Practice address

11 Woodlake TRL
Mount Vernon, OH 43050-8113

Phone

(740) 392-1407

Fax

(740) 392-0334

NPI assigned

Oct 2, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Beckie Swetlic, MBA

Title

Officer

Phone

(740) 392-1407

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 5

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

• Jake Overholt, DC

  • Chiropractor
  • Mt Vernon, OH
  • NPI 1568631505
  Medicare reassignment Care Compare group
• James A Swetlic, DC

  • Chiropractor
  • Mount Vernon, OH
  • NPI 1033288956
  Medicare reassignment Care Compare group
• Michael Dennis Coulter, P.T.

  • Physical Therapist
  • Perrysburg, OH
  • NPI 1104047844
  Medicare reassignment
• Larissa Marie Wander, PT, DPT

  • Physical Therapist
  • Avon, OH
  • NPI 1669947461
  Medicare reassignment
• Christopher Burton Lovejoy, D.P.T

  • Physical Therapist
  • Northville, MI
  • NPI 1831414689

  OH

  Medicare reassignment

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1265629356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WOODLAKE TRL",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430508113",
            "telephone_number": "740-392-1407",
            "fax_number": "740-392-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WOODLAKE TRL",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430508113",
            "telephone_number": "740-392-1407",
            "fax_number": "740-392-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWETLIC CHIROPRACTIC & REHABILITATION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "SWETLIC",
        "authorized_official_first_name": "BECKIE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "740-392-1407",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA LIFE CASUALTY",
            "identifier": "4549474",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "000000119111",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "295643739002",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0720152",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00301046",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Summerfield
• Beverly Rose Summerfield
• Summerville at Hillen Vale LLC
• Jeffrey Thomas Swan
• Terri Leigh Swan, APRN
• James A Swetlic, DC
• Linda K Swetlic, RN
• Heather Jolene Sykes
• Paul A Taiganides, M.D.
• Cova Michelle Talbott, L.P.N.

• Chiropractor in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.