FORWARD SPINE & SPORT (NPI# 1093337420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093337420 |
| Entity Type | Organization |
| Organization Name | FORWARD SPINE & SPORT |
| Practice Address |
285 Harvard St Apt 301 Cambridge MA 02139-2374 |
| Practice Telephone | 5854102081 |
| Mailing Telephone | 5854102081 |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |
| Authorized Official Name | DR. BRYAN MORAN KENT (OWNER) |
| Authorized Official Telephone | 5854102081 |
| Authorized Official Credential | DC, L.AC. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | Other Service Providers | ||
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1609318013 | 05 |
| Street Address |
285 HARVARD ST APT 301 |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02139-2374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609318013 | Bryan Moran Kent | Chiropractor | 285 Harvard St Apt 301, Cambridge, MA 02139-2374 | 2016-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316044 | Diane Greenleaf | Registered Nurse | Cha Windsor Clinic, 119 Windsor St, Cambridge, MA 02139 | 2019-09-26 |
| 1730738345 | Martin Bednar | Student in an Organized Health Care Education/Training Program | 350 Massachusetts Avenue, Cambridge, MA 02139 | 2019-09-06 |
| 1861050049 | Rebecca Marie Addison | Dietitian, Registered | 75 Auburn St, Cambridge, MA 02139 | 2019-06-03 |
| 1285103051 | Jenna Halloran | Social Worker | 929 Massaschusetts Ave, Cambridge, MA 02139 | 2018-11-21 |
| 1750859286 | Lisa Marie Keovongsa | Dietitian, Registered | 186 1/2 Hampshire St., Cambridge, MA 02139 | 2018-11-02 |
| 1245714237 | Eleanor Coffin | Occupational Therapist | 1483 Cambridge St, Cambridge, MA 02139 | 2018-09-17 |
| 1649758277 | Sariya Idriss | Social Worker | Cambridge Health Alliance, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
| 1538647151 | Ari Pehkonen | Social Worker | Cambridge Health Alliance, Cambridge Hospital, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
| 1972080893 | Esther Cazeau | Counselor | 237 Hampshire St., Cambridge, MA 02139 | 2018-07-24 |
| 1528596533 | Adam Liebling | Acupuncturist | 11 Fiske Pl., Cambridge, MA 02139 | 2017-06-03 |
| Find all providers in zip 02139 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811494222 | Hannah Yoon | Chiropractor | 2464 Massachusetts Ave Ste 317b, Cambridge, MA 02140-0024 | 2018-04-11 |
| 1609318013 | Bryan Moran Kent | Chiropractor | 285 Harvard St Apt 301, Cambridge, MA 02139-2374 | 2016-11-16 |
| 1982058228 | Cassandra Murphy | Chiropractor | 4940 River Ridge Dr Nw, Cambridge, MN 55008-7588 | 2016-04-22 |
| 1902146434 | Boston Chiropractic At Cambridge LLC | Chiropractor | 883 Cambridge St, Cambridge, MA 02141-1430 | 2013-02-20 |
| 1144593039 | Jessica Camplese | Chiropractor | 883a Cambridge St, Cambridge, MA 02141-1430 | 2012-02-22 |
| 1306022975 | Mong Van | Chiropractor | 1798 Massachusetts Ave # A, Cambridge, MA 02140-2860 | 2008-01-14 |
| 1942482898 | Shawn Jackson Dupuy | Chiropractor | 730 Cambridge St, Cambridge, MA 02141-1401 | 2007-12-03 |
| 1801912878 | Bryan Anthony Fall | Chiropractor | 1936 E. Wheeling Ave, Cambridge, OH 43725 | 2007-03-22 |
| 1679604201 | Robert Patrick Jeffries | Chiropractor | 1423 Campbell Ave, Cambridge, OH 43725-2930 | 2007-03-07 |
| 1952430589 | Khalsa Chiropractic Office P.C. | Chiropractor | 1718 Mass Ave, Cambridge, MA 02138 | 2007-03-02 |
| Find all providers in CAMBRIDGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.