The Spine Worx LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

08001350 Issued in IN

Legal business name

THE SPINE WORX LLC

Practice address

983 S Creasy LN
Lafayette, IN 47905-4800

Phone

(765) 446-0000

Fax

(317) 245-2153

NPI assigned

Jul 2, 2007

Last updated

Jun 4, 2009By 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. James Pucka, D.C., L.AC.NPI 1023087970

Title

Owner

Phone

(765) 446-0000

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• James M Pucka, DC, LAC

  • Chiropractor
  • Lafayette, IN
  • NPI 1023087970
  Authorized official Same address or phone
• William D Shelton, DC

  • Chiropractor
  • Lafayette, IN
  • NPI 1679698351
  NPD (past)

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1548467640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "983 S CREASY LN",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054800",
            "telephone_number": "765-446-0000",
            "fax_number": "317-245-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 S CREASY LN",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054800",
            "telephone_number": "765-446-0000",
            "fax_number": "317-245-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPINE WORX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "PUCKA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-446-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., L.AC."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IN",
            "license": "08001350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen M. Tharpe, OTR
• Alexis Marie Thayer
• The Care Group, LLC (Horizon Oncology Center)
• The Eye Center Group LLC (Lafayette Eye Center)
• The Health and Hospital Corporation of Marion County (Rosewalk Village at Lafayette)
• Therapies at Play Inc
• Therapy Etc Inc
• Therapy Solutions LLC
• Corby Louise Thiel, NP
• Sara Michele Thieme, PT

• Medical Specialty Clinic/Center in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Medical Specialty Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.