Great Lakes Sports & Spine LLC
NPI 1710768494 · Chiropractor · Willoughby, OH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Great Lakes Sports & Spine LLC is a Chiropractor organization in Willoughby, OH (NPI 1710768494).
Provider details
- NPI number
- 1710768494
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Matthew Martin, Owner/Chiropractic Physician(440) 503-6683
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2023-10-10
- Last updated
- 2023-10-10
- Certified
- 2023-10-10
Frequently asked questions
- What is Great Lakes Sports & Spine LLC's NPI number?
- Great Lakes Sports & Spine LLC's National Provider Identifier (NPI) is 1710768494, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Sports & Spine LLC?
- Great Lakes Sports & Spine LLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Great Lakes Sports & Spine LLC located?
- Great Lakes Sports & Spine LLC's practice location on file with NPPES is 34940 Ridge Rd Ste B, Willoughby, OH 44094-4197.
- What is Great Lakes Sports & Spine LLC's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Sports & Spine LLC is (440) 527-8030.
- Does Great Lakes Sports & Spine LLC accept Medicare?
- Great Lakes Sports & Spine LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Great Lakes Sports & Spine LLC?
- The authorized official listed on Great Lakes Sports & Spine LLC's NPPES record is Matthew Martin, Owner/Chiropractic Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Sports & Spine LLC's NPI active?
- Yes — Great Lakes Sports & Spine LLC's NPI (1710768494) is active in the NPPES registry as of the last update on 2023-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.