Organization Active NPI

Rise Up Chiropractic LLC

  • Primary Care Clinic/Center
  • Georgetown, TX
National Provider Identifier
1003330911
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
13556 Issued in TX
Legal business name
RISE UP CHIROPRACTIC LLC
Practice address
2951 FM 1460 Unit 1402
Georgetown, TX 78626-7429
Phone
(512) 729-3315
NPI assigned
Aug 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shanna Marie Jackson, DC
Title
Owner/Manager
Phone
(512) 729-3315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 13556 TX Primary

Addresses

Primary practice location

2951 FM 1460 Unit 1402
Georgetown, TX 78626-7429

Mailing address

2951 FM 1460 Unit 1402
Georgetown, TX 78626-7429
Phone (512) 729-3315

Other names 1

  • Star of Texas Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

105 E Main St
Bullard, TX 75757
Phone (903) 345-5251

2951 FM 1460
Unit 1402
Georgetown, TX 78626
Phone (512) 729-3315

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1003330911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 FM 1460 UNIT 1402",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267429",
            "telephone_number": "512-729-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 FM 1460 UNIT 1402",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267429",
            "telephone_number": "512-729-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE UP CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2025-09-02",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "512-729-3315",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "13556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star of Texas Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.