Back Pain Solutions Inc.
Organization Active NPI Physical Therapy Clinic/Center · Berlin, PA
NPI 1891963765 · NPPES record last updated Feb 13, 2008
Key facts
- NPI
- 1891963765
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- DC003949L (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
- Organization subpart
- No
Authorized official
- Name
- Dr. Jay Michael Kennnedy, D.C.
- Title
- Owner/President
- Phone
- (814) 267-5830
Practitioners 1
-
Jay Michael Kennedy, D.C.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | DC003949L | PA | Yes |
Addresses
Primary practice location
808 Diamond St
Berlin, PA 15530-1539
Mailing address
808 Diamond St
Berlin, PA 15530-1539
Phone (181) 426-7830
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2058294 | Other | PA | AETNA HMO/POS |
| 216978 | Other | PA | UPMC |
| 1508429 | Other | PA | GATEWAY |
| 01162738 | Medicaid | PA | |
| 4281751 | Other | PA | AETNA PPO/POS |
Other names
- Jay Kennedy DC
Other providers in Berlin, PA
- Alternative Community Resource Program, Inc.
- Joelle Marie Banjak
- 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
All providers in Berlin, PA · Physical Therapy Clinic/Center in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.