Scioto Valley Chiropractic and Rehab Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SCIOTO VALLEY CHIROPRACTIC AND REHAB CENTER LLC

Practice address

1716 11TH St
Portsmouth, OH 45662-4528

Phone

(740) 354-8824

Fax

(740) 354-8826

NPI assigned

Aug 19, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Zachary Alan Woodrum, DCNPI 1588066385

Title

Owner

Phone

(740) 354-8824

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

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

• Zachary Alan Woodrum, DC

  • Chiropractor
  • Walterboro, SC
  • NPI 1588066385

  OH

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1699387977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 11TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624528",
            "telephone_number": "740-354-8824",
            "fax_number": "740-354-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 11TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624528",
            "telephone_number": "740-354-8824",
            "fax_number": "740-354-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCIOTO VALLEY CHIROPRACTIC AND REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "WOODRUM",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-354-8824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160441",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Portsmouth",
            "affiliation": "N",
            "address_1": "1716 11th St",
            "city": "Portsmouth",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456624528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Scioto County Counseling Center, Inc. (The Counseling Center, Inc.)
• Scioto Family and Behavioral Medicine
• Scioto Family and Behavioral Medicine
• Scioto Foot Care Inc.
• Scioto Residential Services, Inc.
• Scioto Valley Orthopaedics, Inc.
• Cadence Scoggins
• Christina M Scott, LPCC-S
• Christopher R. Scott, CRNA
• Dennis Tyler Scott

• Chiropractor in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.