Individual provider Active NPI

Rebecca Jane Ault, D.C.

  • Chiropractor
  • Hudson, OH
National Provider Identifier
1407040793
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3826 Issued in OH
Practice address
130 W Streetsboro St
Ste 2
Hudson, OH 44236-2788
Phone
(330) 342-0755
Fax
(330) 342-0752
NPI assigned
Aug 30, 2007
Last updated
May 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3826 OH Primary

Addresses

Primary practice location

130 W Streetsboro St
Ste 2
Hudson, OH 44236-2788

Mailing address

130 W Streetsboro St
Ste 2
Hudson, OH 44236-2757
Phone (330) 342-0755

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071213000646 OH Practitioner - Chiropractic 5698865665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ault ChiropracticGroup PAC ID 4082703566, 2 clinicians

Practice addresses (Care Compare)

130 W Streetsboro St
Suite 2
Hudson, OH 44236-2757
Phone (330) 342-0755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3826OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ault Chiropractic Chiropractor CurrentSince Nov 5, 2007 Accepting new patients

Locations

130 W Streetsboro St
Hudson, OH 44236
Phone (330) 653-8500

130 W Streetsboro St
Ste 2
Hudson, OH 44236
Phone (330) 342-0755

3975 Cascades Blvd
Unit 5
Kent, OH 44240
Phone (330) 968-6256

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1407040793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W STREETSBORO ST",
            "address_2": "STE 2",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442362757",
            "telephone_number": "330-342-0755",
            "fax_number": "330-342-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W STREETSBORO ST",
            "address_2": "STE 2",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442362788",
            "telephone_number": "330-342-0755",
            "fax_number": "330-342-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AULT",
        "first_name": "REBECCA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.