Ft Recovery Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FT RECOVERY CHIROPRACTIC, LLC

Practice address

103 East Broadway St
Ft Recovery, OH 45846-0655

Phone

(419) 375-4558

Fax

(419) 375-1002

NPI assigned

Sep 22, 2006

Last updated

Jul 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shad Alan Foster, D.C.NPI 1750493375

Title

Owner

Phone

(419) 238-6686

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shad Alan Foster, D.C.

  • Chiropractor
  • Van Wert, OH
  • NPI 1750493375
  NPD (past) Authorized official
• Daniel Joseph Carr, D.C.

  • Chiropractor
  • Fort Recovery, OH
  • NPI 1033289202
  NPD (past)
• Scott F Jutte, D.C.

  • Chiropractor
  • Dickson, TN
  • NPI 1639238801
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1356441133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10963 VAN WERT DECATUR RD",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458919211",
            "telephone_number": "419-238-6686",
            "fax_number": "419-238-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 EAST BROADWAY ST",
            "city": "FT RECOVERY",
            "state": "OH",
            "postal_code": "458460655",
            "telephone_number": "419-375-4558",
            "fax_number": "419-375-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FT RECOVERY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "SHAD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-238-6686",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Joseph Carr, D.C.
• Theresa Maria Detomaso, LPN
• Stacy Faller, MA/CCC-SLP
• Fort Family Health Inc.
• Fort Recovery Local School District
• Ft Recovery Family Medicine, Inc
• Monica Mary Fullenkamp, PHARMD
• Amy Lynn Goettemoeller, RPH
• Dawn R Goodwin, RPH
• Grand Lake Eyecare, LLC

• Chiropractor in Fort Recovery, OH
• Providers in Fort Recovery, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.