Active NPI
Pinnacle Chiropractic and Physical Therapy
Doing business as Advanced Spine, Rehab and Athletics
- Chiropractor
- Etna, OH
National Provider Identifier
1447643697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3618
- Legal business name
- PINNACLE CHIROPRACTIC AND PHYSICAL THERAPY
- Doing business as
- Advanced Spine, Rehab and Athletics
- Practice address
- 9315 Columbia Rd SW
Etna, OH 43062-7126 - Phone
- (740) 963-3900
- Fax
- (740) 963-3999
- NPI assigned
- Mar 12, 2015
- Last updated
- May 13, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Stevenson, DC
- Title
- Doctor
- Phone
- (740) 966-0068
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3618 | OH | Primary |
| Massage Therapist | 225700000X | 33.021808 E-G | OH |
Addresses
Primary practice location
9315 Columbia Rd SW
Etna, OH 43062-7126
Mailing address
9315 Columbia Rd SW
Etna, OH 43062-7126
Phone (740) 963-3900
Other names 1
- Advanced Spine, Rehab and Athletics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9315 Columbia Rd SW
Etna, OH 43062
Phone (740) 963-3900
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Etna, OH
- NPI 1871871830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431475200000",
"number": "1447643697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9315 COLUMBIA RD SW",
"city": "ETNA",
"state": "OH",
"postal_code": "430627126",
"telephone_number": "740-963-3900",
"fax_number": "740-963-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9315 COLUMBIA RD SW",
"city": "ETNA",
"state": "OH",
"postal_code": "430627126",
"telephone_number": "740-963-3900",
"fax_number": "740-963-3999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINNACLE CHIROPRACTIC AND PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-12",
"last_updated": "2015-05-13",
"status": "A",
"authorized_official_last_name": "STEVENSON",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "740-966-0068",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "3618",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "33.021808 E-G",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Spine, Rehab and Athletics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Etna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.