Spine Sports and Industrial Rehabilitation of Elkhart

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SPINE SPORTS AND INDUSTRIAL REHABILITATION OF ELKHART

Practice address

1510 Osolo Rd
Elkhart, IN 46514-4122

Phone

(574) 534-4648

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Joan Szynal, M.D.NPI 1154422434

Title

Owner

Phone

(574) 266-7747

Specialties & licenses 1

Addresses

Other names 1

• SSIR of Elkhart Doing business as

Locations

Practitioners 1

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

• Joan K Szynal, M.D.

  • Specialist
  • Goshen, IN
  • NPI 1154422434
  NPD (past) Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1407904113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 WINSTED DR",
            "address_2": "SUITE 3",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264696",
            "telephone_number": "574-534-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 OSOLO RD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465144122",
            "telephone_number": "574-534-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE SPORTS AND INDUSTRIAL REHABILITATION OF ELKHART",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "SZYNAL",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-266-7747",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSIR of Elkhart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony A Sommer, MS LMHC
• Jessica Sonnenburg, BCBA
• Jeffrey Robert Sonntag, D.O.
• Shirley B. Souder, M.S.W.
• Spa, Inc.
• Brooklyn Spirito, LMHC, NCC
• Springer Dental Care LLC
• Troy Roger Springer, D.M.D.
• Dannet Sprowls
• Amy M Spurgeon, LCSW

• Physical Therapist in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.