KENNEDY CHIROPRACTIC HEALTH CENTER (NPI# 1396896148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396896148 |
| Entity Type | Organization |
| Organization Name | KENNEDY CHIROPRACTIC HEALTH CENTER |
| Other Organization Name | ALLSPORTS PHYSICAL MEDICINE CENTER |
| Practice Address |
45 Marketplace Dr Suite 102 Rocky Mount VA 24151-6516 |
| Mailing Address |
5858 Salisbury Dr Roanoke VA 24018-4116 |
| Practice Telephone | 5404833678 |
| Practice Fax Number | 5404833820 |
| Mailing Telephone | 5404000036 |
| Mailing Fax Number | 5404833820 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MIA M KENNEDY (OWNER) |
| Authorized Official Telephone | 5404833678 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
0104555747 | VA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM GROUP NUMBER | 285308 | 01 |
| VA | ANTHEM DRCOLLINS PROVIDER | 182483 | 01 |
| VA | ANTHEM PROVIDER NUMBER | 317684 | 01 |
| Other Name | Type Code |
|---|---|
| ALLSPORTS PHYSICAL MEDICINE CENTER | Doing Business As Name - Organization |
| Street Address |
45 MARKETPLACE DR SUITE 102 |
| City | ROCKY MOUNT |
| State | VA |
| Zip Code | 24151-6516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588611933 | Japhet Legrant | Chiropractor | 45 Marketplace Dr, Suite 102, Rocky Mount, VA 24151-6516 | 2006-05-30 |
| 1295168961 | Crystal Rose Buck | Nurse Practitioner | 45 Marketplace Dr, Suite 102, Rocky Mount, VA 24151-6516 | 2013-08-16 |
| 1851560940 | Cornerstone Complete Care | Family Medicine | 45 Marketplace Dr, Suite 102, Rocky Mount, VA 24151-6516 | 2008-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093987 | Youth Connect of Virginia, Inc. | Counselor | 370 Tanyard Rd, Rocky Mount, VA 24151 | 2018-05-15 |
| 1568975696 | Kathleen Conway | Speech-Language Pathologist | 25 Bernard Road, Rocky Mount, VA 24151 | 2017-11-11 |
| 1639581960 | Kylie Morris | Family Medicine | 390 S Main St Ste 201, Rocky Mount, VA 24151 | 2014-05-21 |
| 1366791972 | Free Clinic of Franklin County | Clinic/Center | 1171 Franklin Street, Rocky Mount, VA 24151 | 2012-08-29 |
| 1760786115 | Rick H Orange | Pharmacist | 200 Parkside Ln, Rocky Mount, VA 24151 | 2010-12-28 |
| 1952455875 | Rocky Mount Chiropractic Inc | Chiropractor | 546 Pell Ave, Rocky Mount, VA 24151 | 2007-01-22 |
| 1912065277 | Becker Clinic Ltd | Chiropractor | 1533 Franklin Street, Rocky Mount, VA 24151 | 2006-12-05 |
| 1952476244 | Accident and Injury Chiropractic PC | Chiropractor | Accident and Injury Chiropractic PC, 20385 Virgil H Goode Hwy Ste 1, Rocky Mount, VA 24151 | 2006-11-21 |
| 1548352602 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 365 Pell Ave, Rocky Mount, VA 24151 | 2006-09-28 |
| 1073611422 | Cathy Zoe Ford | Dentist | 490 S Main Street, Suite 201, Rocky Mount, VA 24151 | 2006-09-20 |
| Find all providers in zip 24151 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629137369 | Matthew Brian Horvath | Chiropractor | 112 N Winstead Ave, Rocky Mount, NC 27804-2235 | 2006-12-08 |
| 1639398340 | Horvath Chiropractic PC | Chiropractor | 112 N Winstead Ave, Rocky Mount, NC 27804-2235 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194281527 | Cpcj Inc | Chiropractor | 4628 Portsmouth Blvd Ste 100, Chesapeake, VA 23321-2106 | 2019-02-11 |
| 1528483229 | Dynamic Rehab and Spine, LLC | Chiropractor | 2380 Plank Rd, A, Fredericksuburg, VA 22401 | 2014-03-04 |
| 1043527989 | Virginia Health Solutions, Inc. | Chiropractor | 815 Middle Ground Blvd, Inside Onelife Fitness, Newport News, VA 23606-4209 | 2010-09-13 |
| 1609182088 | Manassas Spine & Sport PC | Chiropractor | 9210 Lee Ave, Manassas, VA 20110-5513 | 2010-08-24 |
| 1427383835 | Thomas Edward Nonnenmacher | Chiropractor | 9986 Spotswood Trl, Mcgaheysville, VA 22840-2421 | 2009-10-03 |
| 1669629085 | Back In Action Chiropractic Center, P.C. | Chiropractor | 4911 Augusta Ave, Richmond, VA 23230-3601 | 2008-08-27 |
| 1962626838 | Douglas Owen Nagel | Chiropractor | 46960 Cedar Lake Plz, Suite 150, Sterling, VA 20164-8657 | 2007-04-12 |
| 1285787150 | Hirad Najafbagy | Chiropractor | 905 Herndon Pkwy, Suite B, Herndon, VA 20170-5536 | 2007-01-22 |
| 1730231101 | Leanne Fink | Chiropractor | 15b Loudoun St Sw, Leesburg, VA 20175-2908 | 2007-01-17 |
| 1407911316 | Stephen M Erle | Chiropractor | 2380a Plank Rd, Ste A, Fredericksburg, VA 22401-4927 | 2006-12-22 |
| Find all providers with the same taxonomy | ||||
| City | ROCKY MOUNT |
| Zip Code | 24151 |
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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.