Freedom Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3675 Issued in OH

Legal business name

FREEDOM CHIROPRACTIC, LLC

Practice address

1555 Covington Avenue, Suite 1a
Piqua, OH 45356

Phone

(937) 615-1111

Fax

(937) 615-1110

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Robert A Phillips, DCNPI 1568563377

Title

Doctor of Chiropractic

Phone

(937) 615-1111

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BacksRUs Former legal business name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

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

• Robert A Phillips, DC

  • Chiropractor
  • Piqua, OH
  • NPI 1568563377
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1417175449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 COVINGTON AVENUE, SUITE 1A",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "45356",
            "telephone_number": "937-615-1111",
            "fax_number": "937-615-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 COVINGTON AVENUE, SUITE 1A",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "45356",
            "telephone_number": "937-615-1111",
            "fax_number": "937-615-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 W Russell Rd",
            "address_purpose": "LOCATION",
            "city": "Sidney",
            "state": "OH",
            "postal_code": "453651455",
            "country_code": "US",
            "telephone_number": "937-498-0075",
            "fax_number": "937-615-1110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FREEDOM CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "937-615-1111",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER NUMBER",
            "identifier": "11384830",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BacksRUs",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Brandy Fox
• Angela Marie Frame, LPN
• Arbadella Frank, OPTICIAN
• Jon L Frank, OPTICIAN
• Nicholas Patrick Franks, RPH
• Lori S Froning
• Misty Nicole Fulton, RN
• Galen Health LLC
• George W. Reed OD LTD
• Amanda Gerstner

• Chiropractor in Piqua, OH
• Providers in Piqua, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.