Greenwich Sports Medicine PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1228 Issued in CT

Legal business name

GREENWICH SPORTS MEDICINE PC

Practice address

10 Glenville St Ste 3
Greenwich, CT 06831-3680

Phone

(203) 531-3131

Fax

(203) 531-5690

NPI assigned

Sep 26, 2007

Last updated

Feb 11, 2022By 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

Katie Elise Lorena Kenny

Title

Office Manager

Phone

(203) 531-3131

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 24

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.

• Gil Chimes, DC

  • Chiropractor
  • Greenwich, CT
  • NPI 1104934819
  Medicare reassignment Care Compare group NPD
• Christopher Mah, DC

  • Chiropractor
  • Greenwich, CT
  • NPI 1326156951
  Medicare reassignment Care Compare group NPD
• Christopher Rago, DC

  • Chiropractor
  • Orange, CT
  • NPI 1215221296
  Medicare reassignment Care Compare group NPD
• Aaron L Gerard, DC

  • Chiropractor
  • Greenwich, CT
  • NPI 1992131759
  Medicare reassignment Care Compare group
• Ralph John Cipriani, M.D.

  • Internal Medicine Physician
  • Stamford, CT
  • NPI 1558497974
  NPD
• Erika Shannon Krauss, D.O.

  • Internal Medicine Physician
  • Greenwich, CT
  • NPI 1437239621
  NPD
• Cerrah Lynn Mendelsohn-Elzam, M.D.

  • Internal Medicine Physician
  • Greenwich, CT
  • NPI 1568679736

  Single Specialty

  NPD
• Sandra Mini, M.D.

  • Internal Medicine Physician
  • Westport, CT
  • NPI 1255344198
  NPD
• Jeffrey S Puglisi, MD

  • Internal Medicine Physician
  • Greenwich, CT
  • NPI 1376539213
  NPD
• Sandra D Lithgow, MD

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1205933033
  NPD
• Katherine E Dell Goldberger, DPT

  • Physical Therapist
  • Norwalk, CT
  • NPI 1386748424
  NPD (past)
• Ronald M Levine, MD

  • Internal Medicine Physician
  • Cos Cob, CT
  • NPI 1154473817
  NPD (past)

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1871780585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GLENVILLE ST STE 3",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068313680",
            "telephone_number": "203-531-3131",
            "fax_number": "203-531-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GLENVILLE ST STE 3",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068313680",
            "telephone_number": "203-531-3131",
            "fax_number": "203-531-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWICH SPORTS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "KENNY",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "ELISE LORENA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "203-531-3131"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "1228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE #",
            "identifier": "350001350",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greenwich Psychotherapy & Associates LLC
• Greenwich Psychotherapy Now
• Greenwich Pure Medical, LLC
• Greenwich Radiological Group, PC
• Greenwich Sethi Dental LLC
• Greenwich Taxi Inc
• Greenwich Transportation LLC (GT)
• Greenwich Urological Assoc P C
• Greenwich Woods Limited Partnership Transcon Builders Inc Gen PTR (Greenwich Woods Health Care Center)
• Greenwich Woods Rehabilitation LLC (Greenwich Woods Rehabilitation and Health Care Center)

• Chiropractor in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.