OrganizationActive
Great Lakes Sport and Spine
NPI 1104500925 · Chiropractor · Willoughby, OH
Great Lakes Sport and Spine is a Chiropractor organization in Willoughby, OH (NPI 1104500925).
Provider details
- NPI number
- 1104500925
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Matthew Martin, Owner(440) 503-6683
Specialties & taxonomies
Chiropractic Providers
- Acupuncturist171100000X
Other Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
34940 Ridge Rd Ste B
Willoughby, OH 44094-4197
Phone: (440) 503-6683
Street-level locationGet directions
Mailing address
34940 Ridge Rd Ste B
Willoughby, OH 44094-4197
Registry dates
- Enumerated
- 2023-06-12
- Last updated
- 2023-06-12
- Certified
- 2023-06-12
Frequently asked questions
- What is Great Lakes Sport and Spine's NPI number?
- Great Lakes Sport and Spine's National Provider Identifier (NPI) is 1104500925, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Sport and Spine?
- Great Lakes Sport and Spine is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Great Lakes Sport and Spine located?
- Great Lakes Sport and Spine's practice location on file with NPPES is 34940 Ridge Rd Ste B, Willoughby, OH 44094-4197.
- What is Great Lakes Sport and Spine's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Sport and Spine is (440) 503-6683.
- Who is the authorized official for Great Lakes Sport and Spine?
- The authorized official listed on Great Lakes Sport and Spine's NPPES record is Matthew Martin, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Sport and Spine's NPI active?
- Yes — Great Lakes Sport and Spine's NPI (1104500925) is active in the NPPES registry as of the last update on 2023-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.