Organization Active NPI

Family Chiropractic Sports Injury & Rehab Inc

  • Chiropractor
  • Muscatine, IA
National Provider Identifier
1013352160
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FAMILY CHIROPRACTIC SPORTS INJURY & REHAB INC
Practice address
1605 Plaza PL
Muscatine, IA 52761-5361
Phone
(563) 263-6086
Fax
(563) 263-6086
NPI assigned
May 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Authorized official

Name
Dr. Richard Wallace Leavitt, D.CNPI 1437236312
Title
Owner
Phone
(563) 263-6086

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1605 Plaza PL
Muscatine, IA 52761-5361

Mailing address

1605 Plaza PL
Muscatine, IA 52761-5361
Phone (563) 263-6086

National Provider Directory

National Provider Directory

Locations

1605 Plaza Pl
Muscatine, IA 52761
Phone (563) 263-6086

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": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1013352160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 PLAZA PL",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527615361",
            "telephone_number": "563-263-6086",
            "fax_number": "563-263-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 PLAZA PL",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527615361",
            "telephone_number": "563-263-6086",
            "fax_number": "563-263-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC SPORTS INJURY & REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "LEAVITT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WALLACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-263-6086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscatine, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.