Active NPI
Tori Bottiglione Hartline, DC, MS
- Pediatric Chiropractor
- Addison, TX
National Provider Identifier
1023704459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Chiropractor
- License
- 14878
- Practice address
- 4811 Broadway St
Addison, TX 75001-4694 - Phone
- (469) 249-2623
- NPI assigned
- Apr 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 14878 | TX | |
| Nutrition Chiropractor | 111NN1001X | 14878 | TX | |
| Rehabilitation Chiropractor | 111NR0400X | 14878 | TX | |
| Orthopedic Chiropractor | 111NX0800X | 14878 | TX | |
| Pediatric Chiropractor | 111NP0017X | 14878 | TX | Primary |
Addresses
Primary practice location
4811 Broadway St
Addison, TX 75001-4694
Mailing address
5505 N Colony Blvd
The Colony, TX 75056-1300
Phone (480) 773-0875
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14878 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681776000000",
"number": "1023704459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5505 N COLONY BLVD",
"city": "THE COLONY",
"state": "TX",
"postal_code": "750561300",
"telephone_number": "480-773-0875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4811 BROADWAY ST",
"city": "ADDISON",
"state": "TX",
"postal_code": "750014694",
"telephone_number": "469-249-2623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTLINE",
"first_name": "TORI",
"middle_name": "BOTTIGLIONE",
"name_prefix": "Dr.",
"credential": "DC, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-18",
"last_updated": "2023-04-18",
"certification_date": "2023-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "TX",
"license": "14878",
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "TX",
"license": "14878",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "14878",
"primary": false
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "TX",
"license": "14878",
"primary": false
},
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "TX",
"license": "14878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Addison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.