Organization Active NPI

O'Connell Progressive Chiropractic, LLC

  • Chiropractor
  • Manchester, NH
National Provider Identifier
1780016642
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
881 Issued in NH
Legal business name
O'CONNELL PROGRESSIVE CHIROPRACTIC, LLC
Practice address
1850 Elm St
Manchester, NH 03104-2911
Phone
(603) 641-4800
Fax
(603) 622-3199
NPI assigned
Aug 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Authorized official

Name
Dr. Eric M O'Connell, DCNPI 1083900187
Title
Owner/Manager
Phone
(603) 641-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 881 NH Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 3046 NH

Addresses

Primary practice location

1850 Elm St
Manchester, NH 03104-2911

Mailing address

545 Hooksett Rd Unit 20
Manchester, NH 03104-2654
Phone (603) 641-4800

Other names 1

  • Progressive Spine and Rehab Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131002000210 NH Part B Supplier - Clinic/Group Practice 3072747229 Receives reassigned benefits from 1 practitioner
Practice locations: Manchester, NH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1780016642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 HOOKSETT RD UNIT 20",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042654",
            "telephone_number": "603-641-4800",
            "fax_number": "603-622-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 ELM ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042911",
            "telephone_number": "603-641-4800",
            "fax_number": "603-622-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'CONNELL PROGRESSIVE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "603-641-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "881",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3046",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Spine and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Progressive Spine and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.