Spinal Wellness Chiropractic of Ithaca, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X006347-1 Issued in NY

Legal business name

SPINAL WELLNESS CHIROPRACTIC OF ITHACA, PC

Doing business as

Spinal Wellness Center of Ithaca

Practice address

114 1/2 W Buffalo St
Ithaca, NY 14850-4132

Phone

(607) 277-2570

NPI assigned

Nov 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pierre Gremaud, DCNPI 1740350701

Title

President

Phone

(607) 277-2570

Specialties & licenses 1

Addresses

Other names 1

• Spinal Wellness Center of Ithaca Doing business as

Locations

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.

• Pierre Gremaud, D.C.

  • Chiropractor
  • Ithaca, NY
  • NPI 1740350701
  Authorized official Same address or phone

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538248943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 1/2 W BUFFALO ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504132",
            "telephone_number": "607-277-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 1/2 W BUFFALO ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504132",
            "telephone_number": "607-277-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL WELLNESS CHIROPRACTIC OF ITHACA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREMAUD",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-277-2570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006347-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spinal Wellness Center of Ithaca",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Durrell Spaulding, LCSW-R
• Sara Elizabeth Spencer, LPN
• Nancy Ann Spero, R.N.
• Susannah Cooper Spero, MSN, APRN, FNP-C
• Susan L Spicer, RN
• Anthony Albert Spinelli, MS, ATC, CSCS
• Jody M Stackman, M.D.
• William Forrest Stacy, LMSW
• Michael Stahl, DMD
• Brian S Staiger, RPH

• Chiropractor in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.