Organization Active NPI

Health & Wellness Chiropractic Rehabilitation Center, LLC

Doing business as Booher Family Chiropractic

  • Chiropractor
  • Westerville, OH
National Provider Identifier
1689612582
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3261 Issued in OH
Legal business name
HEALTH & WELLNESS CHIROPRACTIC REHABILITATION CENTER, LLC
Doing business as
Booher Family Chiropractic
Practice address
38 Commerce Park Dr
Suite a
Westerville, OH 43082-7934
Phone
(614) 586-1060
Fax
(614) 586-1061
NPI assigned
Jun 3, 2006
Last updated
Sep 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Authorized official

Name
Dr. Alisha L. Booher, D.C.NPI 1063472587
Title
Member
Phone
(614) 586-1060

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
Chiropractor 111N00000X 3261 OH Primary

Addresses

Primary practice location

38 Commerce Park Dr
Suite a
Westerville, OH 43082-7934

Mailing address

38 Commerce Park Dr
Suite a
Westerville, OH 43082-7934
Phone (614) 586-1060

Other identifiers 1

IdentifierTypeStateIssuer
379582MedicaidOH

Other names 1

  • Booher Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180501000638 OH Part B Supplier - Clinic/Group Practice 8123030707 Receives reassigned benefits from 2 practitioners
Practice locations: Westerville, OH

National Provider Directory

National Provider Directory

Locations

38 Commerce Park Dr
Ste A
Westerville, OH 43082
Phone (614) 586-1060

387 County Line Rd W
Ste 215
Westerville, OH 43082
Phone (614) 272-8854

Practitioners & affiliated clinicians

Practitioners 3

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": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1689612582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 COMMERCE PARK DR",
            "address_2": "SUITE A",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827934",
            "telephone_number": "614-586-1060",
            "fax_number": "614-586-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 COMMERCE PARK DR",
            "address_2": "SUITE A",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827934",
            "telephone_number": "614-586-1060",
            "fax_number": "614-586-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH & WELLNESS CHIROPRACTIC REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "BOOHER",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "614-586-1060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379582",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Booher Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.