Bodywork Chiropractic and Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BODYWORK CHIROPRACTIC AND WELLNESS LLC

Practice address

3807 Brecksville Rd Ste 4
Richfield, OH 44286-9165

Phone

(330) 523-7020

NPI assigned

May 24, 2023

Last updated

Aug 4, 2023By 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

Mariah Southard, DCNPI 1528564259

Title

Owner

Phone

(440) 554-7642

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Mariah Southard, DC

  • Chiropractor
  • Richfield, OH
  • NPI 1528564259
  Authorized official Same address or phone

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1861184285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3807 BRECKSVILLE RD STE 4",
            "city": "RICHFIELD",
            "state": "OH",
            "postal_code": "442869165",
            "telephone_number": "330-523-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3807 BRECKSVILLE RD STE 4",
            "city": "RICHFIELD",
            "state": "OH",
            "postal_code": "442869165",
            "telephone_number": "330-523-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWORK CHIROPRACTIC AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-08-04",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "SOUTHARD",
        "authorized_official_first_name": "MARIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-554-7642",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "NPI",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Richfield, OH
• Providers in Richfield, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.