Ohio Sports and Spine Institute

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

OHIO SPORTS AND SPINE INSTITUTE

Practice address

1265 Boardman Canfield Rd
Boardman, OH 44512-4004

Phone

(330) 758-9400

Fax

(330) 726-8676

NPI assigned

Jul 28, 2015

Last updated

Dec 8, 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

Laurie Kleeh, CPA

Title

Practice Manager

Phone

(330) 758-9400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1538544994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 BOARDMAN CANFIELD RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124004",
            "telephone_number": "330-758-9400",
            "fax_number": "330-726-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 BOARDMAN CANFIELD RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124004",
            "telephone_number": "330-758-9400",
            "fax_number": "330-726-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO SPORTS AND SPINE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "KLEEH",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "330-758-9400",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Og Medical Services LLC
• Ohio CVS Stores LLC (CVS Pharmacy #16795)
• Ohio CVS Stores LLC (CVS Pharmacy 03302)
• Ohio Naturopathic, LLC (Ohio Naturopathic Wellness Center)
• Ohio Sports & Spine Institute, LTD
• Michelle Lynn Oliver, R.N.
• Qaadir E Oliver
• Melanie L. Olsen, MSED
• Nicole Kristin Olshanski, CNM
• On Time Rides

• Massage Therapist in Boardman, OH
• Providers in Boardman, OH by specialty
• Massage Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.