Individual provider Active NPI

Shoshana S Loerch, DC

  • Rehabilitation Chiropractor
  • Parma, OH
National Provider Identifier
1992049985
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
0104557026 Issued in VA
Practice address
7664 Broadview Rd
Parma, OH 44134-6746
Phone
(440) 840-7419
NPI assigned
Nov 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 04981 OH
Rehabilitation Chiropractor 111NR0400X 0104557026 VA Primary

Addresses

Primary practice location

7664 Broadview Rd
Parma, OH 44134-6746

Mailing address

7664 Broadview Rd
Parma, OH 44134-6746
Phone (440) 840-7419

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210507001515 OH Practitioner - Chiropractic 4880003607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

150 E Sprague Rd
Suite 3
Broadview Heights, OH 44147-1280
Phone 44084074190781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104557026VAMDRehabilitation Chiropractor
04981OHMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Wellness Center LTD CurrentSince Feb 23, 2021 Accepting new patients
Pleasant Valley Chiropractic Clinic, Inc. CurrentSince Feb 14, 2021 Accepting new patients

Locations

150 E Sprague Rd
Ste 3
Broadview Heights, OH 44147
Phone (440) 840-7419

7664 Broadview Rd
Parma, OH 44134
Phone (216) 520-6880

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": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1992049985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7664 BROADVIEW RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441346746",
            "telephone_number": "440-840-7419",
            "fax_number": "216-520-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7664 BROADVIEW RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441346746",
            "telephone_number": "440-840-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOERCH",
        "first_name": "SHOSHANA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OH",
            "license": "04981",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "VA",
            "license": "0104557026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.