Organization Active NPI

Valley Chiropractic & Rehabilitation, LLC

  • Chiropractor
  • Holyoke, MA
National Provider Identifier
1023069465
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
132 Issued in MA
Legal business name
VALLEY CHIROPRACTIC & REHABILITATION, LLC
Practice address
850 High St
Suite 2B
Holyoke, MA 01040-3739
Phone
(413) 536-0142
Fax
(413) 536-0607
NPI assigned
May 12, 2006
Last updated
Apr 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Authorized official

Name
Scott R Storozuk, DCNPI 1740232958
Title
Owner/President
Phone
(413) 536-0142

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 MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 132 MA Primary

Addresses

Primary practice location

850 High St
Suite 2B
Holyoke, MA 01040-3739

Mailing address

850 High St
Suite 2B
Holyoke, MA 01040-3739
Phone (413) 536-0142

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050928001054 MA Part B Supplier - Clinic/Group Practice 7911932926 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Holyoke, MA; Springfield, MA

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Valley Chiropractic Rehabilitation LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1023069465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HIGH ST",
            "address_2": "SUITE 2B",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010403739",
            "telephone_number": "413-536-0142",
            "fax_number": "413-536-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HIGH ST",
            "address_2": "SUITE 2B",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010403739",
            "telephone_number": "413-536-0142",
            "fax_number": "413-536-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CHIROPRACTIC & REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "STOROZUK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "413-536-0142",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; 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.