BACK PAIN SOLUTIONS INC. (NPI# 1891963765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891963765 |
| Entity Type | Organization |
| Organization Name | BACK PAIN SOLUTIONS INC. |
| Other Organization Name | JAY KENNEDY DC |
| Practice Address |
808 Diamond St Berlin PA 15530-1539 |
| Practice Telephone | 1814267830 |
| Mailing Telephone | 1814267830 |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |
| Authorized Official Name | DR. JAY MICHAEL KENNNEDY (OWNER/PRESIDENT) |
| Authorized Official Telephone | 8142675830 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
DC003949L | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | GATEWAY | 1508429 | 01 |
| PA | UPMC | 216978 | 01 |
| PA | 01162738 | 05 | |
| PA | AETNA HMO/POS | 2058294 | 01 |
| PA | AETNA PPO/POS | 4281751 | 01 |
| Other Name | Type Code |
|---|---|
| Jay Kennedy DC | Former Legal Business Name - Organization |
| Street Address |
808 DIAMOND ST |
| City | BERLIN |
| State | PA |
| Zip Code | 15530-1539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821076043 | Jay Michael Kennedy | Chiropractor | 808 Diamond St, Berlin, PA 15530-1539 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396894564 | Jonico Inc | Pharmacy | 413 Broadway St, Berlin, PA 15530-1001 | 2007-01-09 |
| 1073578597 | Berlin Area Ambulance Assn Inc | Ambulance | 721 North St, Berlin, PA 15530-1115 | 2006-04-18 |
| 1114001658 | Joseph F Jurgevich | Dentist | 721 North St, Berlin, PA 15530-1115 | 2006-10-24 |
| 1093971947 | Christopher Nicholson Clarke | Family Medicine | 426 Main St, Berlin, PA 15530-1229 | 2008-07-31 |
| 1447263942 | Kenneth J Vanantwerp | Family Medicine | 426 Main St, Berlin, PA 15530-1229 | 2006-08-14 |
| 1447397914 | Glenn Wayne Kreinbrook | Chiropractor | 429 Main St, Apt#10, Berlin, PA 15530-1237 | 2007-01-31 |
| 1710100458 | Fairman Family Chiropractic P C | Chiropractor | 537 Main St, Berlin, PA 15530-1344 | 2007-04-11 |
| 1821128752 | Crystal Lynn Fairman | Chiropractor | 537 Main St, Berlin, PA 15530-1344 | 2007-03-07 |
| 1104956986 | Bradley Garrett Fairman | Chiropractor | 537 Main St, Berlin, PA 15530-1344 | 2007-03-07 |
| 1033779327 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 1025 Main St, Berlin, PA 15530-1426 | 2019-06-18 |
| Find all providers in zip 15530 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
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| 1548727043 | Peak Physical Therapy & Wellness LLC | Clinic/Center | 4805 East Main Street, Berlin, OH 44610 | 2019-02-21 |
| 1922622661 | My Virtual Pt | Clinic/Center | 46 Zion Dr, Berlin, NJ 08009-1425 | 2020-05-28 |
| 1780868505 | Focus Physical Therapy & Sports Medicine LLC | Clinic/Center | 1138 Farmington Ave, Berlin, CT 06037-2301 | 2007-12-28 |
| 1942412127 | Hammonton Orthopedic and Sports Physical Therapy | Clinic/Center | 181 W White Horse Pike, Berlin, NJ 08009-2032 | 2007-05-03 |
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| 1811516339 | Alyssa Haveson | Clinic/Center | 23 Sentinel Rd, Washington Crossing, PA 18977-1142 | 2020-04-14 |
| 1104455377 | Dizzy Brain and Balance Specialists LLC | Clinic/Center | 484 Maple Point Dr, Langhorne, PA 19047-1473 | 2020-04-08 |
| 1891326427 | Joshua David Finley | Clinic/Center | 918 Truepenny Rd, Media, PA 19063-1634 | 2020-02-02 |
| 1487285003 | Adamson Therapy Services, LLC | Clinic/Center | 35 S West St Ste B, Waynesburg, PA 15370-2029 | 2020-02-02 |
| 1538799796 | Sirona Therapy P.C. | Clinic/Center | 220 W Plum St Ste 335, Edinboro, PA 16412-2167 | 2020-01-16 |
| 1326683095 | Drayer Physical Therapy Institute LLC | Clinic/Center | 702 Creekside Ln, Lititz, PA 17543-6826 | 2019-11-16 |
| 1396380150 | Sfas Physical Therapy LLC | Clinic/Center | 347a Old Curry Hollow Rd, Pittsburgh, PA 15236-4608 | 2019-11-14 |
| Find all providers with the same taxonomy | ||||
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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.