Mountain High Chiropractic and Sports Medicine LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MOUNTAIN HIGH CHIROPRACTIC AND SPORTS MEDICINE LLC

Practice address

645 Main St
Plantsville, CT 06479-1506

Phone

(860) 579-4021

NPI assigned

Sep 21, 2021

Organization subpart

No

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

Authorized official

Name

Ben C Reilly, DCNPI 1457021537

Title

Owner

Phone

(860) 579-4021

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ben C. Reilly, DC

  • Chiropractor
  • Plantsville, CT
  • NPI 1457021537
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1902577836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 MAIN ST",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 MAIN ST",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791506",
            "telephone_number": "860-579-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN HIGH CHIROPRACTIC AND SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-579-4021",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Ashley McKenna
• Meghan M McNicholas-Leggett, DC
• Metis Counseling Services, LLC
• Jaclyn Miller, NP-BC
• Caitlin Morelli, LPC
• Helen Kathryn Mrotek, M.S., NCC
• Mulberry Gardens
• Kathleen Mulhall Nasser
• John James Murray III, OT
• Leslie Ann Betters Nafreen, NCC, LPC

• Health Service Clinic/Center in Plantsville, CT
• Providers in Plantsville, CT by specialty
• Health Service Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.