SEA CHANGE CHIROPRACTIC AND WELLNESS (NPI# 1669609350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669609350 |
| Entity Type | Organization |
| Organization Name | SEA CHANGE CHIROPRACTIC AND WELLNESS |
| Practice Address |
821 Cliff St Suite 300 Ithaca NY 14850-2017 |
| Practice Telephone | 6072569355 |
| Practice Fax Number | 6072759355 |
| Mailing Telephone | 6072569355 |
| Mailing Fax Number | 6072759355 |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2009-12-03 |
| Authorized Official Name | DR. AMMITAI WOROB (CHIROPRACTOR) |
| Authorized Official Telephone | 6072569355 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 011697 | NY | Chiropractic Providers |
| Street Address |
821 CLIFF ST SUITE 300 |
| City | ITHACA |
| State | NY |
| Zip Code | 14850-2017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114907847 | Timothy M Cardina | Internal Medicine | 821 Cliff St, Ithaca, NY 14850-2017 | 2006-01-19 |
| 1780243154 | Jacinta Whticome | Massage Therapist | 821 Cliff St, Ithaca, NY 14850-2097 | 2019-06-10 |
| 1891256541 | Annie Rose Stiver | Chiropractor | 821 Cliff St, Ithaca, NY 14850-2097 | 2019-03-26 |
| 1073073961 | Jenelle Marie Riker | Massage Therapist | 821 Cliff St, Ithaca, NY 14850-2097 | 2019-03-25 |
| 1952866873 | Sylvie Yntema | Massage Therapist | 821 Cliff St, Ithaca, NY 14850-2097 | 2019-02-05 |
| 1891261822 | Jenna Bergman Wentzel | Massage Therapist | 821 Cliff St, Ithaca, NY 14850-2097 | 2018-10-17 |
| 1356829006 | Zackary David Miller | Massage Therapist | 821 Cliff St, Ithaca, NY 14850-2097 | 2018-08-04 |
| 1023559598 | Cayuga Dermatology, Pllc | Dermatology | 821 Cliff St, Suite 2, Ithaca, NY 14850-2097 | 2017-03-16 |
| 1366986234 | Cayla Griffin | Massage Therapist | 821 Cliff St, Ithaca, NY 14850-2097 | 2016-12-13 |
| 1891150223 | Patrick Lonergan | Chiropractor | 821 Cliff St, Ithaca, NY 14850-2097 | 2015-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123897 | Michelle Lee Sanito | Registered Nurse | 400 Lake Street, Ithaca, NY 14850 | 2020-10-30 |
| 1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
| 1518581701 | Sameer Acharya | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-03 |
| 1699399873 | Anurag Aryal | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Internal Medicine Residency, Cayuga Med, Ithaca, NY 14850 | 2020-06-03 |
| 1932723228 | Binay Kumar Kshetree | Student in an Organized Health Care Education/Training Program | Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-02 |
| 1225657349 | Nima Hazrati Pour Fard | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 | 2020-04-09 |
| 1326671090 | Garret Hoskey | Specialist/Technologist | 953 Dany Road, Ithaca, NY 14850 | 2020-02-20 |
| 1609407709 | En-ting Hsu | Marriage & Family Therapist | 110 N. Cayuga Street 4th Floor Suite 3, Ithaca, NY 14850 | 2020-01-28 |
| 1306491063 | Patrick Owen Mckeon | Specialist/Technologist | Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 | 2019-08-08 |
| 1538722343 | Priyesh Thakurathi | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Cayuga Medical Center, Internal Medicine Residency Program, Ithaca, NY 14850 | 2019-04-17 |
| Find all providers in zip 14850 | ||||
| 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 |
|---|---|---|---|---|
| 1962864876 | Richard Bruce Cohen | Chiropractor | 418 N Tioga St, Ithaca, NY 14850-4229 | 2016-03-22 |
| 1730588393 | Jonathan Hamm | Chiropractor | 87 Uptown Rd Apt F105, Ithaca, NY 14850-6469 | 2014-08-20 |
| 1669704425 | Jennifer Ellyn Hightower | Chiropractor | 502 The Pkwy, Ithaca, NY 14850-2271 | 2010-02-04 |
| 1558509778 | Jason John Barton | Chiropractor | 64 Gunderman Rd, Ithaca, NY 14850-8624 | 2009-01-26 |
| 1841447703 | Katarzyna Zofia Komorowska | Chiropractor | 123 E King Rd, Studio 51, Ithaca, NY 14850 | 2008-08-22 |
| 1285881110 | Fall Creek Health Care | Chiropractor | 423 1st St, Ithaca, NY 14850-3503 | 2008-08-21 |
| 1366562811 | Natural Health Family Chiropractic | Chiropractor | 103 Sharlene Rd, Ithaca, NY 14850-6315 | 2007-03-29 |
| 1477625960 | Mary E Balliett | Chiropractor | 116 W Buffalo St, Ithaca, NY 14850-4132 | 2006-11-14 |
| 1598836140 | Jessica E. Loda | Chiropractor | 726 Willow Ave, Ithaca, NY 14850-3215 | 2006-11-13 |
| 1538248943 | Spinal Wellness Chiropractic of Ithaca, PC | Chiropractor | 114 1/2 W Buffalo St, Ithaca, NY 14850-4132 | 2006-11-04 |
| Find all providers in ITHACA | ||||
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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.