NPIMap

Organization Active NPI

Spine Sports & Industrial Rehabilitation Inc

  • Neuromusculoskeletal Medicine & OMM Physician
  • Columbus, OH
National Provider Identifier
1306979232
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
34006814 Issued in OH
Legal business name
SPINE SPORTS & INDUSTRIAL REHABILITATION INC
Practice address
1335 Dublin Rd
Suite 100-a
Columbus, OH 43215-1000
Phone
(614) 486-7171
Fax
(614) 486-9854
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Ms. Cathy Young
Title
Director of Operations
Phone
(614) 486-7171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204D00000X 34006814 OH Primary

Addresses

Primary practice location

1335 Dublin Rd
Suite 100-a
Columbus, OH 43215-1000

Mailing address

1335 Dublin Rd
Suite 100-a
Columbus, OH 43215-1000
Phone (614) 486-7171

Other identifiers 1

IdentifierTypeStateIssuer
2067445MedicaidOH

Other names 1

  • Spinal & Orthopaedic Medicine Assoc. INC Other name

National Provider Directory

National Provider Directory

Locations

1335 Dublin Rd
Ste 100A
Columbus, OH 43215
Phone (614) 486-7171

2929 Kenny Rd
Ste 120
Columbus, OH 43221
Phone (740) 681-1582

6810 Perimeter Dr
Ste 100
Dublin, OH 43016
Phone (800) 357-3811

Practitioners & affiliated clinicians

Practitioners 6

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1306979232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 DUBLIN RD",
            "address_2": "SUITE 100-A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151000",
            "telephone_number": "614-486-7171",
            "fax_number": "614-486-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 DUBLIN RD",
            "address_2": "SUITE 100-A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151000",
            "telephone_number": "614-486-7171",
            "fax_number": "614-486-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE SPORTS & INDUSTRIAL REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "614-486-7171",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "OH",
            "license": "34006814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2067445",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spinal & Orthopaedic Medicine Assoc. INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.