NPIMap

Organization Active NPI

Pine Chiropractic

  • Rehabilitation Chiropractor
  • Lowell, MA
National Provider Identifier
1023208931
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
PINE CHIROPRACTIC
Practice address
35 Willie St
Unit 12
Lowell, MA 01854-4164
Phone
(978) 452-1188
Fax
(978) 452-7220
NPI assigned
Jul 26, 2007
Last updated
Jul 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Authorized official

Name
Keith Sor
Title
Manager
Phone
(978) 452-1188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

35 Willie St
Unit 12
Lowell, MA 01854-4164

Mailing address

35 Willie St
Unit 12
Lowell, MA 01854-4164
Phone (978) 452-1188

National Provider Directory

National Provider Directory

Locations

35 Willie St
Unit 12
Lowell, MA 01854
Phone (978) 452-1188

Practitioners & affiliated clinicians

Practitioners 2

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": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1023208931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 WILLIE ST",
            "address_2": "UNIT 12",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018544164",
            "telephone_number": "978-452-1188",
            "fax_number": "978-452-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 WILLIE ST",
            "address_2": "UNIT 12",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018544164",
            "telephone_number": "978-452-1188",
            "fax_number": "978-452-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "SOR",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "978-452-1188"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.