Iannetta Manipulation LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

1897 Issued in ME

Legal business name

IANNETTA MANIPULATION LLC

Doing business as

Iannetta Osteopathic Manipulation

Practice address

632 US Route 1
Scarborough, ME 04074-9794

Phone

(207) 883-1003

Fax

(207) 883-5322

NPI assigned

May 20, 2011

Last updated

Nov 7, 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. Joshua J Iannetta, D.O.NPI 1508065210

Title

President

Phone

(207) 883-1003

Specialties & licenses 1

Addresses

Other names 1

• Iannetta Osteopathic Manipulation Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 2

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.

• Joshua Iannetta, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Scarborough, ME
  • NPI 1508065210
  Medicare reassignment NPD Authorized official
• Jewel Lannetta Mynahan, M.T.

  • Massage Therapist
  • Scarborough, ME
  • NPI 1427344811
  NPD (past)

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1740573906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 US ROUTE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749794",
            "telephone_number": "207-883-1003",
            "fax_number": "207-883-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 US ROUTE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749794",
            "telephone_number": "207-883-1003",
            "fax_number": "207-883-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IANNETTA MANIPULATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-20",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "IANNETTA",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-883-1003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "ME",
            "license": "1897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iannetta Osteopathic Manipulation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David S Hurst, MD
• Hurt&Co, LLC
• Morgan Hutchins
• Jill Daicey Hutchison
• Reyna Hutchison, DPT
• Joshua Iannetta, DO
• Nataliia Iantsevych, FNP
• Infinity LLC
• Infinity LLC
• Insight Premier Health

• Medical Specialty Clinic/Center in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Medical Specialty Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.