Practical Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X009791 Issued in NY

Legal business name

PRACTICAL CHIROPRACTIC, P.C.

Practice address

344 E Main St
Ste 204
Mount Kisco, NY 10549-3027

Phone

(914) 242-3411

NPI assigned

Aug 14, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Yelena Polyakova, D.C.NPI 1992738678

Title

President

Phone

(914) 242-3411

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

• Yelena Polyakova, D.C.

  • Chiropractor
  • Mount Kisco, NY
  • NPI 1992738678
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1750638367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 CANTERBURY RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106071028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 E MAIN ST",
            "address_2": "STE 204",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493027",
            "telephone_number": "914-242-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICAL CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "POLYAKOVA",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-242-3411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yelena Polyakova, D.C.
• Michelle Rachel Popkin, MD
• Ariel Walsh Porteus, CASAC-T
• Jeffrey S Powell, MD
• Lenore Powers, LCSW
• Premier Psychology Services, LLP
• Stephanie Marie Prevost, AUD
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy PC
• Dana Protomastro, NP

• All providers in Mount Kisco, NY
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.