Individual provider Active NPI

Ondrea Bisson

  • Chiropractor
  • Medina, OH
National Provider Identifier
1922750702
Registry record updated Jan 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-05150 Issued in OH
Practice address
3637 Medina Rd Ste 85
Medina, OH 44256-8153
Phone
(330) 952-0391
NPI assigned
Jan 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-05150 OH Primary

Addresses

Primary practice location

3637 Medina Rd Ste 85
Medina, OH 44256-8153

Mailing address

139 Birdwood Rd
Akron, OH 44313-6205
Phone (330) 328-2859

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Akron

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240430002002 OH Practitioner - Chiropractic 9537509138 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-05150OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Recrea Health and Wellness LLC CurrentSince Feb 1, 2022 Accepting new patients
Advanced Orthopedics and Physical Therapy, Inc. CurrentSince Mar 3, 2024 Accepting new patients

Locations

3637 Medina Rd
Ste 85
Medina, OH 44256
Phone (330) 212-4884

4700 Richmond Rd
Ste 100
Warrensville Heights, OH 44128
Phone (216) 378-9390

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642809600000",
    "number": "1922750702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 BIRDWOOD RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443136205",
            "telephone_number": "330-328-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 MEDINA RD STE 85",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568153",
            "telephone_number": "330-952-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSON",
        "first_name": "ONDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-22",
        "last_updated": "2022-01-22",
        "certification_date": "2022-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-05150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Akron",
            "affiliation": "N",
            "address_1": "3637 Medina Rd Ste 85",
            "city": "Medina",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442568153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2022; 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.