Provider Demographics
NPI:1902125404
Name:NEXT LEVEL SPINE AND SPORTS INJURY CENTER, LLC
Entity Type:Organization
Organization Name:NEXT LEVEL SPINE AND SPORTS INJURY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:814-397-7704
Mailing Address - Street 1:2605 NICHOLSON RD STE 3120
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-7608
Mailing Address - Country:US
Mailing Address - Phone:724-719-2900
Mailing Address - Fax:724-719-2901
Practice Address - Street 1:2605 NICHOLSON RD STE 3120
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-7608
Practice Address - Country:US
Practice Address - Phone:724-719-2900
Practice Address - Fax:724-719-2901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-24
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty