Organization Active NPI

Severance Chiropractic and Rehabilitation Inc.

  • Rehabilitation Chiropractor
  • Cleveland Heights, OH
National Provider Identifier
1972818086
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
SEVERANCE CHIROPRACTIC AND REHABILITATION INC.
Doing business as
severance chiropractic
Practice address
3084 Mayfield Rd
Cleveland Heights, OH 44118-1727
Phone
(216) 321-7246
Fax
(440) 937-2239
NPI assigned
Aug 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Authorized official

Name
Dr. John Roman Fortuna, D.C.
Title
Owner
Phone
(216) 321-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

3084 Mayfield Rd
Cleveland Heights, OH 44118-1727

Mailing address

3084 Mayfield Rd
Cleveland Heights, OH 44118-1727
Phone (216) 321-7246

Other names 1

  • severance chiropractic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1972818086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3084 MAYFIELD RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181727",
            "telephone_number": "216-321-7246",
            "fax_number": "440-937-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3084 MAYFIELD RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181727",
            "telephone_number": "216-321-7246",
            "fax_number": "440-937-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVERANCE CHIROPRACTIC AND REHABILITATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "FORTUNA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-321-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "severance chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.