Proactive Spine and Rehab
Organization Active NPI Chiropractor · Harvey, LA
NPI 1003546722 · NPPES record last updated Aug 29, 2022
Key facts
- NPI
- 1003546722
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- PROACTIVE SPINE AND REHAB
- Practice address
- 1525 Lapalco Blvd Ste 12
Harvey, LA 70058-5738 - Phone
- (504) 227-0272
- Fax
- (504) 227-0275
- NPI assigned
- Jun 15, 2022
- Organization subpart
- No
Authorized official
- Name
- Homer Yee
- Title
- Owner
- Phone
- (504) 227-0272
Practitioners 5
-
Homer Yee II, DC
-
Amanda Lynn Bowman, LMT
-
Celine H Lemieux, DC
-
James Allen Filipiak, D.C.
-
Lance Joseph Lorio, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220815003243 | LA | Part B Supplier - Clinic/Group Practice | 9931582566 |
Receives reassigned benefits from 1 practitioner Practice locations: Harvey, LA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
1525 Lapalco Blvd Ste 12
Harvey, LA 70058-5738
Mailing address
1525 Lapalco Blvd Ste 12
Harvey, LA 70058-5738
Phone (504) 227-0272
Other providers in Harvey, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.