Market Street Spine & Rehab, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MARKET STREET SPINE & REHAB, LLC

Practice address

4495 Market St
Boardman, OH 44512-1573

Phone

(330) 782-3190

NPI assigned

May 19, 2015

Organization subpart

No

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

Authorized official

Name

Not Sure

Title

Chiro

Phone

(330) 782-3190

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1881073104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4495 MARKET ST",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445121573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4495 MARKET ST",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445121573",
            "telephone_number": "330-782-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKET STREET SPINE & REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "SURE",
        "authorized_official_first_name": "NOT",
        "authorized_official_title_or_position": "CHIRO",
        "authorized_official_telephone_number": "330-782-3190"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Manning, DO
• Williams Mansfield
• Leigh Manson, OT
• Luis Henrique Marconcini, MD
• Melissa M Marenkovic, LSW
• Scott Alan Marlin, MA, LSW
• April L Maro, RN
• April Martin
• Don Martin, PHD
• Shannon Marie Martin, RD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.