Olympic Health and Sports Therapy PC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

001630 Issued in CT

Legal business name

OLYMPIC HEALTH AND SPORTS THERAPY PC

Practice address

2440 Whitney Ave
# 209
Hamden, CT 06518-3222

Phone

(203) 287-8524

Fax

(203) 287-2452

NPI assigned

Dec 21, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Eric Douglas Meyers, D.C.NPI 1053350355

Title

Owner

Phone

(203) 287-8524

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 2

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

• Eric Douglas Meyers, D.C.

  • Chiropractor
  • Hamden, CT
  • NPI 1053350355
  Medicare reassignment NPD Authorized official
• Lauren Elizabeth Austin-McClellan, D.C

  • Chiropractor
  • Hamden, CT
  • NPI 1184988479
  NPD (past)

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1518236462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 WHITNEY AVE",
            "address_2": "# 209",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183222",
            "telephone_number": "203-287-8524",
            "fax_number": "203-287-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 WHITNEY AVE",
            "address_2": "# 209",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183222",
            "telephone_number": "203-287-8524",
            "fax_number": "203-287-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC HEALTH AND SPORTS THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-287-8524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CT",
            "license": "001630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prince Okyere
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• Alice Opare
• Opticare Eye Health Centers,Inc.
• Origin Stories Counseling PLLC
• Alexandra Orlandi

• Rehabilitation Chiropractor in Hamden, CT
• Providers in Hamden, CT by specialty
• Rehabilitation Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.