Valley Chiropractic and Sports Medicine LLC
Organization Active NPI Chiropractor · West Simsbury, CT
NPI 1801344304 · NPPES record last updated Feb 1, 2023
Key facts
- NPI
- 1801344304
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 002040 (CT)
- Legal business name
- VALLEY CHIROPRACTIC AND SPORTS MEDICINE LLC
- Practice address
- 244 Farms Village Rd Unit L
West Simsbury, CT 06092-2407 - Phone
- (860) 413-2727
- Fax
- (860) 413-2730
- NPI assigned
- Sep 14, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Brett Inlow, DC
- Title
- Chiropractic Physician/Owner
- Phone
- (860) 413-2727
Subparts reporting this organization as parent 1
Practitioners 3
-
Nicole Ellrod, PT
-
Brett Inlow, DC
-
Matthew Chella, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190301001320 | CT | Part B Supplier - Clinic/Group Practice | 2365781762 |
Receives reassigned benefits from 2 practitioners Practice locations: West Simsbury, CT |
National Provider Directory
Locations
244 Farms Village Rd
Unit K
West Simsbury, CT 06092
Phone (860) 413-2727
244 Farms Village Rd
Unit L
West Simsbury, CT 06092
Phone (860) 413-2727
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 002040 | CT | Yes |
Addresses
Primary practice location
244 Farms Village Rd Unit L
West Simsbury, CT 06092-2407
Mailing address
244 Farms Village Rd Unit L
PO Box 485
West Simsbury, CT 06092-0485
Phone (860) 413-2727
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174974976 | Medicaid | CT | |
| 1659469823 | Medicaid | MA |
Other providers in West Simsbury, CT
- Veronica Maria Przedworski
- Liza Rice
- Laura Rodenbusch
- Cynthia J Roman-Chouinard
- Valley Chiropractic and Physical Therapy
- Valley Dental Center, LLC
- Valley Wellness LLC
- Abigail Wallman
All providers in West Simsbury, CT · Chiropractor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2023. 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.