Active NPI
Jody K. Love, D.C., C.C.S.P.
- Sports Physician Chiropractor
- Twisp, WA
National Provider Identifier
1891832341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- CH00001979
- Practice address
- 614 Canyon Road
Twisp, WA 98856 - Phone
- (509) 997-7062
- Fax
- (509) 997-7022
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | CH00001979 | WA | Primary |
Addresses
Primary practice location
614 Canyon Road
Twisp, WA 98856
Mailing address
PO Box 127
Twisp, WA 98856-0127
Phone (509) 997-7062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040212000140 | WA | Practitioner - Chiropractic | 7618861345 | Practice locations: Twisp, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
614 Canyon St
Twisp, WA 98856-9867
Phone (509) 997-7062
PO Box
Suite 127
Twisp, WA 98856-0127
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00001979 | WA | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891832341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 127",
"city": "TWISP",
"state": "WA",
"postal_code": "988560127",
"telephone_number": "509-997-7062",
"fax_number": "509-997-7022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 CANYON ROAD",
"city": "TWISP",
"state": "WA",
"postal_code": "98856",
"telephone_number": "509-997-7062",
"fax_number": "509-997-7022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE",
"first_name": "JODY",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "D.C., C.C.S.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "WA",
"license": "CH00001979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Twisp, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.