Axis Health, Inc.
Organization Active NPI Chiropractor · Grants Pass, OR
NPI 1780988261 · NPPES record last updated Mar 18, 2022
Key facts
- NPI
- 1780988261
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- AXIS HEALTH, INC.
- Practice address
- 333 SW 5TH St Ste B
Grants Pass, OR 97526-2509 - Phone
- (541) 471-0397
- Fax
- (541) 471-6459
- NPI assigned
- Dec 27, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Sandra Puyana Martin, D.C.
- Title
- Owner
- Phone
- (541) 471-0397
Practitioners 36
-
Ryan C Baker, D.C.
-
Michael Hults, DC
-
Sandra P Martin, DC, LLC
-
Jordan D Shaw, D.C.
-
Paul A Paez, DC
-
Lacy Elizabeth Scott Wyant, RN, FNP
-
Andrew T Baldwin, LMT
-
Wendy J Bertolino, LMT
-
Maia Bierwirth, LMT
-
Ethan H Canoe, LMT
-
Sandra A Chambless, LMT
-
Savannah Jade Clem, LMT
-
Paulina M Contreras, LMT
-
Karieigh E Dean, LMT
-
Julia Aenes Funaro, LMT
-
Jesse T Gabbert, LMT
-
Joel Aaron Hanzly, LMT
-
Dimira E Leiter, LMT
-
Amelia R Martin, LMT
-
Jessica N Marvin, LMT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110308000830 | OR | Part B Supplier - Clinic/Group Practice | 7214119544 |
Receives reassigned benefits from 9 practitioners Practice locations: Grants Pass, OR |
National Provider Directory
Locations
333 SW 5th St
Ste B
Grants Pass, OR 97526
Phone (541) 471-0397
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2821 | OR | |
| Chiropractor |
111N00000X | Yes | ||
| Physical Therapist |
225100000X | |||
| Massage Therapist |
225700000X |
Addresses
Primary practice location
333 SW 5TH St Ste B
Grants Pass, OR 97526-2509
Mailing address
333 SW 5TH St Ste B
Grants Pass, OR 97526-2509
Phone (541) 471-0397
Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.