Organization Active NPI

Proactive Health and Wellness LLC

  • Sports Physician Chiropractor
  • Westerville, OH
National Provider Identifier
1760876338
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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.
Title
Owner
Phone
(614) 337-8111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 3774 OH Primary

Addresses

Primary practice location

4967 E Dublin Granville Rd
Westerville, OH 43081-9703

Mailing address

4967 E Dublin Granville Rd
Westerville, OH 43081-9703
Phone (614) 337-8111

National Provider Directory

National Provider Directory

Locations

4967 E Dublin Granville Rd
Westerville, OH 43081
Phone (614) 337-8111

NPI Registry JSON

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": []
}

Other providers in Westerville, OH

Sources for this page

  • 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.