Organization Active NPI

Ocean State Chiropractic and Sports Rehabilitation Inc

  • Chiropractor
  • Portsmouth, RI
National Provider Identifier
1013245356
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
OCEAN STATE CHIROPRACTIC AND SPORTS REHABILITATION INC
Practice address
3030 E Main Rd
Portsmouth, RI 02871-4243
Phone
(401) 324-0600
Fax
(401) 354-7470
NPI assigned
Nov 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Authorized official

Name
Michael Gerald Leroux, DCNPI 1154432870
Title
Owner, Chiropractor
Phone
(401) 324-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3030 E Main Rd
Portsmouth, RI 02871-4243

Mailing address

1920 Mineral Spring Ave Unit 16
North Providence, RI 02904-3742
Phone (401) 354-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100726000397 RI Part B Supplier - Clinic/Group Practice 7416978960 Receives reassigned benefits from 1 practitioner
Practice locations: Portsmouth, RI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Ocean St Chiro Sports Reha2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1920 Mineral Spring Ave
Unit 16
North Providence, RI 02904

1920 Mineral Spring Ave
Ste 16
North Providence, RI 02904
Phone (401) 354-5500

3030 E Main Rd
Ste 6
Portsmouth, RI 02871
Phone (401) 324-0600

3030 E Main Rd
Portsmouth, RI 02871
Phone (401) 324-0600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1013245356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 MINERAL SPRING AVE UNIT 16",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029043742",
            "telephone_number": "401-354-5500",
            "fax_number": "401-354-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 E MAIN RD",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028714243",
            "telephone_number": "401-324-0600",
            "fax_number": "401-354-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN STATE CHIROPRACTIC AND SPORTS REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "LEROUX",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "OWNER, CHIROPRACTOR",
        "authorized_official_telephone_number": "401-324-0600",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.