Chiropractic & Spinal Rehabilitation Clinic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2535 Issued in OH

Legal business name

CHIROPRACTIC & SPINAL REHABILITATION CLINIC, INC.

Practice address

5004 Turney Rd
Garfield HTS, OH 44125-2503

Phone

(216) 429-9700

Fax

(216) 429-9701

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Marc Nissan Friedman, D.C.NPI 1316975261

Title

President

Phone

(216) 429-9700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rockside Chiropractic Life Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 6

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

• Marc Nissan Friedman, D.C.

  • Chiropractor
  • Garfield HTS, OH
  • NPI 1316975261
  Medicare reassignment Authorized official
• Ashley Bentley, LMT

  • Massage Therapist
  • Garfield Heights, OH
  • NPI 1578436564
  NPD
• Millia Sherrod

  • Massage Therapist
  • Garfield Heights, OH
  • NPI 1053025072
  NPD
• Skyluar Wingfield, LMT

  • Massage Therapist
  • Garfield Heights, OH
  • NPI 1487476776
  NPD
• Adam Jay Friedman, D.C.

  • Chiropractor
  • Garfield Heights, OH
  • NPI 1477581874
  NPD (past)
• Angela Mastronardi, D.C., L.L.C.

  • Chiropractor
  • Fairview Park, OH
  • NPI 1083757579
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1629014535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 TURNEY RD",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441252503",
            "telephone_number": "216-429-9700",
            "fax_number": "216-429-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 TURNEY RD",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441252503",
            "telephone_number": "216-429-9700",
            "fax_number": "216-429-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC & SPINAL REHABILITATION CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "NISSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-429-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2156054",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockside Chiropractic Life Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine M Cerny, CNP
• Jami R Chapman, LPN
• Marquetta Chapman, H.H.A
• Sheralda Chapman I
• Diane Chernin, M.D.
• Bridgette Celine Chuderewicz, COTA/L
• CHV Home Medical Equipment
• Danielle Cichon, DPT
• Brian Edward Clark, DDS
• Sheila Clark, LCDCIII

• Chiropractor in Garfield HTS, OH
• Providers in Garfield HTS, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.