Back Pain Solutions Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

DC003949L Issued in PA

Legal business name

BACK PAIN SOLUTIONS INC.

Practice address

808 Diamond St
Berlin, PA 15530-1539

Phone

(181) 426-7830

NPI assigned

Feb 13, 2008

Last updated

Feb 13, 2008By 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

Dr. Jay Michael Kennnedy, D.C.

Title

Owner/President

Phone

(814) 267-5830

Specialties & licenses 1

Addresses

Other names 1

• Jay Kennedy DC Former legal business name

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.

• Jay Michael Kennedy, D.C.

  • Chiropractor
  • Berlin, PA
  • NPI 1821076043
  NPD (past)

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1891963765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 DIAMOND ST",
            "city": "BERLIN",
            "state": "PA",
            "postal_code": "155301539",
            "telephone_number": "181-426-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 DIAMOND ST",
            "city": "BERLIN",
            "state": "PA",
            "postal_code": "155301539",
            "telephone_number": "181-426-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK PAIN SOLUTIONS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "KENNNEDY",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "814-267-5830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "DC003949L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jay Kennedy DC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Alternative Community Resource Program, Inc.
• Joelle Marie Banjak, M.S. CCC-SLP
• Bedford-Somerset Developmental and Behavioral Health Services
• Bedford-Somerset Developmental and Behavioral Health Services
• Bedford-Somerset Developmental and Behavioral Health Services
• Bedford-Somerset Developmental and Behavioral Health Services

• Physical Therapy Clinic/Center in Berlin, PA
• Providers in Berlin, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.