Organization Active NPI

Athleterx Chiropractic and Recovery PLLC

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1073355202
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ATHLETERX CHIROPRACTIC AND RECOVERY PLLC
Practice address
535 Yellowstone Dr Ste 205
Charlotte, NC 28208-5758
Phone
(704) 386-1485
NPI assigned
Jun 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Ms. Kelly Burchit
Title
Billing Manager
Phone
(864) 626-3374

Specialties & licenses 1

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

Addresses

Primary practice location

535 Yellowstone Dr Ste 205
Charlotte, NC 28208-5758

Mailing address

535 Yellowstone Dr Ste 205
Charlotte, NC 28208-5758
Phone (704) 386-1485

Other names 1

  • AthleteRX Chiropractic and Recovery Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Chirotouch Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241018000942 NC Part B Supplier - Clinic/Group Practice 0840722575 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

535 Yellowstone Dr
Ste 205
Charlotte, NC 28208
Phone (704) 386-1485

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1073355202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 YELLOWSTONE DR STE 205",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085758",
            "telephone_number": "704-386-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 YELLOWSTONE DR STE 205",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085758",
            "telephone_number": "704-386-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETERX CHIROPRACTIC AND RECOVERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "BURCHIT",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "864-626-3374",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Chirotouch",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "535 Yellowstone Dr Ste 205",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282085758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "AthleteRX Chiropractic and Recovery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.