Organization Active NPI

Mobility to Agility Chiropractic LLC

  • Chiropractor
  • Greenville, SC
National Provider Identifier
1023479565
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4118 Issued in SC
Legal business name
MOBILITY TO AGILITY CHIROPRACTIC LLC
Practice address
1272 Woodruff Rd
Greenville, SC 29607-5754
Phone
(864) 660-2062
NPI assigned
Mar 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Authorized official

Name
Dr. Jacob Siler, DC
Title
Owner/Manager
Phone
(864) 660-2062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4118 SC Primary

Addresses

Primary practice location

1272 Woodruff Rd
Greenville, SC 29607-5754

Mailing address

1272 Woodruff Rd
Greenville, SC 29607-5754
Phone (864) 660-2062

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1023479565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 WOODRUFF RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075754",
            "telephone_number": "864-660-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 WOODRUFF RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075754",
            "telephone_number": "864-660-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY TO AGILITY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "SILER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "864-660-2062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.