Clarksville Spine and Rehabilitation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002029A Issued in IN

Legal business name

CLARKSVILLE SPINE AND REHABILITATION

Practice address

815 Eastern Blvd
Clarksville, IN 47129-2336

Phone

(812) 282-7500

Fax

(812) 282-4552

NPI assigned

May 24, 2007

Last updated

Jul 8, 2013By 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. Joseph F Rogers Jr., DCNPI 1467541177

Title

Proprietor

Phone

(812) 282-7500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 3

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.

• Joseph F Rogers Jr., DC

  • Chiropractor
  • Clarksville, IN
  • NPI 1467541177
  Medicare reassignment Care Compare group NPD Authorized official
• Richard J Zupancic Sr., DC

  • Chiropractor
  • Clarksville, IN
  • NPI 1598854218
  Medicare reassignment Care Compare group NPD
• Jessica Stephanie Bunch, DC

  • Chiropractor
  • Clarksville, IN
  • NPI 1255486973
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1801007885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 EASTERN BLVD",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292336",
            "telephone_number": "812-282-7500",
            "fax_number": "812-282-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 EASTERN BLVD",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292336",
            "telephone_number": "812-282-7500",
            "fax_number": "812-282-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSVILLE SPINE AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "812-282-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002029A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200390890",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarksville MRI
• Clarksville Primary Care, LLC
• Clarksville Psych Hospital, LLC (Brightwell Behavioral Health)
• Clarksville Psych Hospital, LLC (Brightwell Behavioral Health)
• Clarksville Rehabilitation Hospital LLC
• Clean Health Medical, LLC
• Cobalt Rehabilitation Hospital Louisville LLC (Cobalt Rehabilitation Hospital Louisville)
• Roberta Elaine Coleman, M.D.
• Shaleesha Nyree-Zeni Coleman, DPT
• Melanie Rochelle Comer-Christopher

• Chiropractor in Clarksville, IN
• Providers in Clarksville, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.