NPIMap

Organization Active NPI

Neck Back and Body Accident and Injury Therapy Clinic

  • Chiropractor
  • Cleveland, OH
National Provider Identifier
1306005756
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2545 Issued in OH
Legal business name
NECK BACK AND BODY ACCIDENT AND INJURY THERAPY CLINIC
Practice address
13357 Lorain Ave
Cleveland, OH 44111-3408
Phone
(216) 941-1919
Fax
(216) 941-2929
NPI assigned
Jun 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Dr. Thomas Kavounas, D.C.NPI 1548265887
Title
Coowner
Phone
(216) 941-1919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2545 OH Primary

Addresses

Primary practice location

13357 Lorain Ave
Cleveland, OH 44111-3408

Mailing address

13357 Lorain Ave
Cleveland, OH 44111-3408
Phone (216) 941-1919

Other identifiers 1

IdentifierTypeStateIssuer
2058044MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1306005756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13357 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441113408",
            "telephone_number": "216-941-1919",
            "fax_number": "216-941-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13357 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441113408",
            "telephone_number": "216-941-1919",
            "fax_number": "216-941-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NECK BACK AND BODY ACCIDENT AND INJURY THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "KAVOUNAS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "COOWNER",
        "authorized_official_telephone_number": "216-941-1919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2058044",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.