Structural Based Therapy, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008110 Issued in GA

Legal business name

STRUCTURAL BASED THERAPY, LLC

Practice address

3719 Old Alabama Rd
Suite 400 a
Alpharetta, GA 30022-8675

Phone

(678) 469-4133

NPI assigned

Aug 19, 2011

Last updated

Aug 19, 2011By 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. Michael Angelo Maiorino, DC

Title

President

Phone

(678) 469-4133

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1700166956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 OLD ALABAMA RD",
            "address_2": "SUITE 400 A",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300228675",
            "telephone_number": "678-469-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 OLD ALABAMA RD",
            "address_2": "SUITE 400 A",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300228675",
            "telephone_number": "678-469-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRUCTURAL BASED THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "MAIORINO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANGELO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-469-4133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009403-1",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008110",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "MT004280",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celina Street, NP
• Robert Strembel, LPC
• Achamma Dorcas Strickland
• Elizabeth Larkin Stroud, M.S.
• Narissa Michelle Strozier, APC
• Diann Chere Stuart, LAMFT
• Jason Quinn Stucky, D.C.
• Meng Su, DMD
• Riffat Sumera Subhani, RPH, MBA
• Suburban Medical Associ (James L. Stewart, MD)

• Chiropractor in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.