South Windsor Neck and Back, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

011490 Issued in CT

Legal business name

SOUTH WINDSOR NECK AND BACK, LLC

Practice address

1330 Sullivan Ave
South Windsor, CT 06074-2713

Phone

(860) 644-2437

Fax

(860) 644-8590

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Andrew P Gregory

Title

Owner Manager

Phone

(860) 644-2437

Specialties & licenses 2

Addresses

Other identifiers 3

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1306065248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 SULLIVAN AVE",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742713",
            "telephone_number": "860-644-2437",
            "fax_number": "860-644-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SULLIVAN AVE",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742713",
            "telephone_number": "860-644-2437",
            "fax_number": "860-644-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH WINDSOR NECK AND BACK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "860-644-2437",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "011490",
            "primary": true
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "CT",
            "license": "001133",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROSANNE GREGORY NPI SOLO",
            "identifier": "1922042563",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "C03101",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANDREW GREGORY  NPI SOLO",
            "identifier": "1114961703",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larisa Sokolson, DMD
• Leslie Keyes Soran, NUTRITIONIST
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• South Windsor Ambulatory Care Ctr Inc
• South Windsor Board of Education
• South Windsor Pediatrics, LLC
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• Southwindsorpsychotherapy
• Rose M Spada
• Wendy Sperry, FNP

• Chiropractor in South Windsor, CT
• Providers in South Windsor, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.