NPIMap

Organization Active NPI

Glass City Spine and Rehab Inc.

  • Chiropractor
  • Toledo, OH
National Provider Identifier
1780006247
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3460 Issued in OH
Legal business name
GLASS CITY SPINE AND REHAB INC.
Practice address
4333 Monroe St
Suite D & E
Toledo, OH 43606-1981
Phone
(419) 472-2610
Fax
(419) 472-2611
NPI assigned
Jan 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Authorized official

Name
Dr. Matthew Bertollini, DC
Title
Owner
Phone
(419) 472-2610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3460 OH Primary

Addresses

Primary practice location

4333 Monroe St
Suite D & E
Toledo, OH 43606-1981

Mailing address

4333 Monroe St
Suite D & E
Toledo, OH 43606-1981
Phone (419) 472-2610

Other names 1

  • Glass City Injury and Rehab Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

4333 Monroe St
Ste D
Toledo, OH 43606
Phone (419) 472-2610

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1780006247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 MONROE ST",
            "address_2": "SUITE D & E",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061981",
            "telephone_number": "419-472-2610",
            "fax_number": "419-472-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 MONROE ST",
            "address_2": "SUITE D & E",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061981",
            "telephone_number": "419-472-2610",
            "fax_number": "419-472-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASS CITY SPINE AND REHAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-17",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "BERTOLLINI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-472-2610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glass City Injury and Rehab Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.