NPIMap

Organization Active NPI

Aligned Chiropractic and Physical Rehabilitation Inc

  • Chiropractor
  • Willoughby, OH
National Provider Identifier
1356624860
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3382 Issued in OH
Legal business name
ALIGNED CHIROPRACTIC AND PHYSICAL REHABILITATION INC
Practice address
39000 Mentor Ave
Willoughby, OH 44094-8095
Phone
(440) 953-3950
Fax
(440) 953-3953
NPI assigned
Sep 21, 2011
Last updated
Jul 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Dr. Timothy Tyler Moore, DCNPI 1316021231
Title
Owner
Phone
(440) 953-3950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3589 OH
Chiropractor 111N00000X 3382 OH Primary

Addresses

Primary practice location

39000 Mentor Ave
Willoughby, OH 44094-8095

Mailing address

39000 Mentor Ave
Willoughby, OH 44094-8095
Phone (440) 953-3950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120109000920 OH Part B Supplier - Clinic/Group Practice 8224204425 Receives reassigned benefits from 9 practitioners
Practice locations: Ashtabula, OH; Solon, OH; Willoughby, OH

National Provider Directory

National Provider Directory

Locations

1610 W 11th St
Ashtabula, OH 44004
Phone (440) 536-5475

7547 Mentor Ave
Mentor, OH 44060
Phone (440) 953-3950

6001 Cochran Rd
Solon, OH 44139
Phone (440) 953-3950

6001 Cochran Rd
Ste 300
Solon, OH 44139
Phone (216) 628-7017

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1356624860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39000 MENTOR AVE",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440948095",
            "telephone_number": "440-953-3950",
            "fax_number": "440-953-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 MENTOR AVE",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440948095",
            "telephone_number": "440-953-3950",
            "fax_number": "440-953-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIGNED CHIROPRACTIC AND PHYSICAL REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-953-3950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3589",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.