Organization Active NPI

Power of Life, LLC

Doing business as Power of Life Chiropractic

  • Chiropractor
  • Rocky River, OH
National Provider Identifier
1922230861
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3913 Issued in OH
Legal business name
POWER OF LIFE, LLC
Doing business as
Power of Life Chiropractic
Practice address
19930 Detroit Rd
Rocky River, OH 44116-1837
Phone
(440) 331-4744
NPI assigned
Aug 11, 2009
Last updated
Aug 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Authorized official

Name
Dr. Bryan G. Ruocco, D.C.NPI 1942394705
Title
Pres
Phone
(440) 331-4744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3913 OH Primary

Addresses

Primary practice location

19930 Detroit Rd
Rocky River, OH 44116-1837

Mailing address

PO Box 161085
Rocky River, OH 44116-7000
Phone (440) 331-4744

Other names 1

  • Power of Life Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100326000143 OH Part B Supplier - Clinic/Group Practice 8123154481 Receives reassigned benefits from 1 practitioner
Practice locations: Rocky River, OH

National Provider Directory

National Provider Directory

Locations

19930 Detroit Rd
Rocky River, OH 44116
Phone (440) 331-4744

21690 River Oaks Dr
Rocky River, OH 44116
Phone (440) 331-4744

Practitioners & affiliated clinicians

Practitioners 2

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": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1922230861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161085",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441167000",
            "telephone_number": "440-331-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19930 DETROIT RD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441161837",
            "telephone_number": "440-331-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER OF LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "RUOCCO",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "440-331-4744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Power of Life Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocky River, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.