Pvdchiro LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

Legal business name

PVDCHIRO LLC

Practice address

189 Governor St Ste 1-2
Providence, RI 02906-3124

Phone

(401) 396-2010

Fax

(401) 466-4050

NPI assigned

Jun 22, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Ellen McNally, DCNPI 1174661607

Title

Owner / Physician

Phone

(401) 396-2010

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ellen Ashley McNally, D.C.

  • Chiropractor
  • Providence, RI
  • NPI 1174661607
  NPD Authorized official

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1316623713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 GOVERNOR ST STE 1-2",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063124",
            "telephone_number": "401-396-2010",
            "fax_number": "401-466-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 GOVERNOR ST STE 1-2",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063124",
            "telephone_number": "401-396-2010",
            "fax_number": "401-466-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PVDCHIRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "MCNALLY",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "401-396-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamedtauqir M Puthawala, M.D.
• Mohamedyakub A Puthawala, M.D
• Rachel Kate Putman, MD
• Heather Putnam
• Sharath Ponnappa Puttichanda
• Raaj Pyada, MD
• Hassan Qadir, M.D
• Mohammad Mutaz Sa'Adaldin Qazziha, MBBS
• Xiaoxiao Qian, M.D.
• Natalie Wei Qin

• Rehabilitation Chiropractor in Providence, RI
• Providers in Providence, RI by specialty
• Rehabilitation Chiropractor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.