Organization Active NPI

Performance Health & Rehabilitation Chiropractic Center PLLC

Doing business as Performance Health and Rehab Chiropractic Center

  • Health Service Clinic/Center
  • Cold Spring, KY
National Provider Identifier
1669760526
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
5277 Issued in KY
Legal business name
PERFORMANCE HEALTH & REHABILITATION CHIROPRACTIC CENTER PLLC
Doing business as
Performance Health and Rehab Chiropractic Center
Practice address
3699 Alexandria Pike
Suite C
Cold Spring, KY 41076-1789
Phone
(859) 360-0664
Fax
(859) 360-3143
NPI assigned
Jul 13, 2011
Last updated
Oct 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Authorized official

Name
Dr. Steven Hannegan, D.C.NPI 1497040851
Title
Ceo
Phone
(859) 360-0664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 5277 KY Primary

Addresses

Primary practice location

3699 Alexandria Pike
Suite C
Cold Spring, KY 41076-1789

Mailing address

3699 Alexandria Pike
Suite C
Cold Spring, KY 41076-1789
Phone (859) 360-0664

Other names 1

  • Performance Health and Rehab Chiropractic Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111027000822 KY Part B Supplier - Clinic/Group Practice 7810160397 Receives reassigned benefits from 2 practitioners
Practice locations: Wilder, KY

National Provider Directory

National Provider Directory

Locations

3699 Alexandria Pike
#C
Cold Spring, KY 41076
Phone (859) 640-3578

3699 Alexandria Pike
Ste C
Cold Spring, KY 41076
Phone (859) 360-0664

419 Licking Pike
Ste B
Wilder, KY 41071
Phone (859) 360-0664

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1669760526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3699 ALEXANDRIA PIKE",
            "address_2": "SUITE C",
            "city": "COLD SPRING",
            "state": "KY",
            "postal_code": "410761789",
            "telephone_number": "859-360-0664",
            "fax_number": "859-360-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3699 ALEXANDRIA PIKE",
            "address_2": "SUITE C",
            "city": "COLD SPRING",
            "state": "KY",
            "postal_code": "410761789",
            "telephone_number": "859-360-0664",
            "fax_number": "859-360-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE HEALTH & REHABILITATION CHIROPRACTIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "HANNEGAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "859-360-0664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "KY",
            "license": "5277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Health and Rehab Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cold Spring, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.