Stephen Ray Pettay, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

976 Issued in OH

Practice address

1875 Bethel Rd
Columbus, OH 43220-1869

Phone

(614) 451-0472

Fax

(614) 451-0882

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arlington Chiropractic Clinic, Inc.

  • Chiropractor
  • Columbus, OH
  • NPI 1740319979
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1821196205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 BETHEL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432201869",
            "telephone_number": "614-451-0472",
            "fax_number": "614-451-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 BETHEL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432201869",
            "telephone_number": "614-451-0472",
            "fax_number": "614-451-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTAY",
        "first_name": "STEPHEN",
        "middle_name": "RAY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OH",
            "license": "976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph P Petrozzi, CRNA
• Mary E Petrulis, MD
• Richard J Petruska, LISW
• Kearson Petruzzi, MS, RD, LDN
• Danielle Petry
• David Patrick Pettit, MD
• Jalisa Petty
• Kerri Petuch-Henslee
• Brian T. Petullo, M.D.
• Rebecca J. Petzinger

• Sports Physician Chiropractor in Columbus, OH
• Providers in Columbus, OH by specialty
• Sports Physician Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.