Bay Area Spine & Sport, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BAY AREA SPINE & SPORT, INC

Practice address

1801 Cleveland Ave
Suite B
Santa Rosa, CA 95401-4297

Phone

(707) 526-4180

Fax

(707) 526-4152

NPI assigned

Aug 29, 2005

Organization subpart

Yes

Parent organization

MDRS, INCAs reported in NPPES

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

Authorized official

Name

Joe L. Verna, DCNPI 1750344131

Title

Chief Operating Officer

Phone

(888) 208-8526

Specialties & licenses 6

Addresses

Other names 1

• SANTA ROSA SPINE & SPORT Doing business as

Part of

MDRS Spine Sport Inc

Locations

Practitioners 2

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

• Joe L Verna, D.C.

  • Chiropractor
  • San Diego, CA
  • NPI 1750344131
  NPD Authorized official
• Brendan S Strem, DPT

  • Physical Therapist
  • San Diego, CA
  • NPI 1033498084
  NPD

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1316930076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3444 KEARNY VILLA RD",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231959",
            "telephone_number": "888-208-8526",
            "fax_number": "858-751-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 CLEVELAND AVE",
            "address_2": "SUITE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014297",
            "telephone_number": "707-526-4180",
            "fax_number": "707-526-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA SPINE & SPORT, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MDRS, INC",
        "enumeration_date": "2005-08-29",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "VERNA",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "888-208-8526",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Ergonomics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SANTA ROSA SPINE & SPORT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Baxman
• Bay Area Esthetics Plastic Surgery Inc
• Bay Area Foot Care Inc
• Bay Area Foot Care, Inc
• Bay Area Music Therapy LLC
• Nicole Bayard, DNP, FNP, APRN
• Catherine Ann Bayer, PHD
• Anna Baylor
• Panathda Victoria Bayrasy, PHARMD
• Miellie Bazzano

• Physical Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.