Elite Spine and Rehab, LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

Legal business name

ELITE SPINE AND REHAB, LLC

Practice address

4906 Millridge Pkwy E
Midlothian, VA 23112-4828

Phone

(804) 592-2225

Fax

(804) 315-8726

NPI assigned

Sep 3, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer Busch

Title

Practice Manager

Phone

(804) 592-2225

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mason Lawrence Sheehan II, D.C.

  • Chiropractor
  • Richmond, VA
  • NPI 1326285834
  NPD

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1013742733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1539",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231131539",
            "telephone_number": "804-592-2225",
            "fax_number": "804-315-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 MILLRIDGE PKWY E",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124828",
            "telephone_number": "804-592-2225",
            "fax_number": "804-315-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SPINE AND REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "BUSCH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "804-592-2225"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April A Eisensee, PTA, TSC
• Dana Shook Elam, BS PHARMACY
• Kerry Williams Eley, M.D.
• Tarek Sayed Elganainy
• Thomas Gabriel Elias, DMD
• Elitetrans LLC
• Maya Tony Eljor, CTRS
• Jorden Anne Elliott-Mixon, LPC
• Charne Ellis
• Vanessa M Ellison, LCSW, MDIV

• Rehabilitation Chiropractor in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Rehabilitation Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.