Spinal Rehab Group, LLC

Primary specialty

Recovery Care Clinic/CenterTaxonomy code 261QR0800X

License

1871 Issued in MA

Legal business name

SPINAL REHAB GROUP, LLC

Practice address

406 S Huntington Ave
Jamaica Plain, MA 02130-4814

Phone

(617) 524-4878

Fax

(617) 524-0075

NPI assigned

Sep 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Lee Dodes, D.C.NPI 1154421212

Title

Owner

Phone

(617) 524-4878

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 3

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

• Glenn Lee Dodes, DC

  • Chiropractor
  • Canton, MA
  • NPI 1154421212
  Medicare reassignment NPD Authorized official
• Eric Greenspan, D.C.

  • Chiropractor
  • Canton, MA
  • NPI 1295094308
  Medicare reassignment NPD
• Michael Wayne Rauch, D.C.

  • Chiropractor
  • Jamaica Plain, MA
  • NPI 1407932130
  Medicare reassignment NPD

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1497063440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 S HUNTINGTON AVE",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304814",
            "telephone_number": "617-524-4878",
            "fax_number": "617-524-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 S HUNTINGTON AVE",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304814",
            "telephone_number": "617-524-4878",
            "fax_number": "617-524-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL REHAB GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "DODES",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-524-4878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": "MA",
            "license": "1871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Spector, M.ED.
• Rona Spector, MD
• Susan Spector, PCD(DONA)
• Claire Elizabeth Spelkoman
• Ryan Spina
• Allison Spirito
• Laura Megan Sprauer, R.D.
• Springfield Family Dental PC
• Springhouse, Inc.
• Alicia Spruill

• Recovery Care Clinic/Center in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Recovery Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.