The Backstroke, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001402 Issued in CT

Legal business name

THE BACKSTROKE, LLC

Practice address

181 State St
Bridgeport, CT 06604-4805

Phone

(203) 332-7400

Fax

(203) 332-7401

NPI assigned

May 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Elyse Lynne, D.C.

Title

President

Phone

(203) 332-7400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1487972865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 STATE ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044805",
            "telephone_number": "203-332-7400",
            "fax_number": "203-332-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 STATE ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044805",
            "telephone_number": "203-332-7400",
            "fax_number": "203-332-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BACKSTROKE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "LYNNE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ELYSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-332-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Matthew Charles Tevay, CRNA, APRN
• Prithvi Thadikonda, PHARMD
• Kunj Y Thakkar
• Nisarg Thakker, MB,BS
• Poonam Thakore, M.D.
• The Child and Family Guidance Center
• The Child and Family Guidance Center, Inc.
• The Davis & Brooks Family Agency
• The Hearing Center of Bridgeport, LLC
• The Jewish Home for the Elderly of Fairfield County Inc

• All providers in Bridgeport, CT
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.