Proactive Health and Wellness LLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

3774 Issued in OH

Legal business name

PROACTIVE HEALTH AND WELLNESS LLC

Practice address

4967 E Dublin Granville Rd
Westerville, OH 43081-9703

Phone

(614) 337-8111

NPI assigned

Mar 23, 2015

Last updated

Mar 23, 2015By 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. Lucas Paul Reinhart, D.C.NPI 1508920893

Title

Owner

Phone

(614) 337-8111

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Lucas Paul Reinhart, D.C.

  • Chiropractor
  • Gahanna, OH
  • NPI 1508920893
  Authorized official Same address or phone

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1760876338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4967 E DUBLIN GRANVILLE RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430819703",
            "telephone_number": "614-337-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4967 E DUBLIN GRANVILLE RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430819703",
            "telephone_number": "614-337-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "REINHART",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-337-8111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "OH",
            "license": "3774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Physician Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.