NPIMap

Organization Active NPI

Sport and Spine Performance Institute LLC

  • Chiropractor
  • Plymouth, MI
National Provider Identifier
1891085700
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009727 Issued in MI
Legal business name
SPORT AND SPINE PERFORMANCE INSTITUTE LLC
Practice address
1365 S Main St
Suite B
Plymouth, MI 48170-2217
Phone
(734) 927-4411
Fax
(734) 927-4410
NPI assigned
Apr 12, 2011
Last updated
Nov 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Dr. Cheryl A Luther, DCNPI 1750524906
Title
Ceo
Phone
(734) 927-4411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301009727 MI Primary

Addresses

Primary practice location

1365 S Main St
Suite B
Plymouth, MI 48170-2217

Mailing address

1365 S Main St
Suite B
Plymouth, MI 48170-2217
Phone (734) 927-4411

National Provider Directory

National Provider Directory

Locations

1365 S Main St
Ste B
Plymouth, MI 48170
Phone (734) 536-4680

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1891085700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 S MAIN ST",
            "address_2": "SUITE B",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702217",
            "telephone_number": "734-927-4411",
            "fax_number": "734-927-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 S MAIN ST",
            "address_2": "SUITE B",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702217",
            "telephone_number": "734-927-4411",
            "fax_number": "734-927-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT AND SPINE PERFORMANCE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "LUTHER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-927-4411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.