Michael Rex Pinckney, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

Practice address

507 S la Grange Rd
La Grange, IL 60525-6740

Phone

(708) 354-9599

Fax

(708) 354-9799

NPI assigned

Sep 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete Rehabilitation, LTDGroup PAC ID 2466522974, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Complete Rehabilitation, LTD

  • Orthopedic Chiropractor
  • La Grange, IL
  • NPI 1053521385
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093810939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S LA GRANGE RD",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256740",
            "telephone_number": "708-354-9599",
            "fax_number": "708-354-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S LA GRANGE RD",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256740",
            "telephone_number": "708-354-9599",
            "fax_number": "708-354-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINCKNEY",
        "first_name": "MICHAEL",
        "middle_name": "REX",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "4400474",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00071845",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "606504",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4923193",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Physiotherapy Assoicates Inc (NovaCare Kids)
• Alyson O Piagnarelli, M.S., CCC-SLP
• Carolanne Pilch
• Pillars Community Health
• Pillars Community Health
• Julie Pleviak, DC
• Paige Pontrelli
• Therese Porod
• Positively Psyched, PLLC
• Powers Mindset Therapy PLLC

• Sports Physician Chiropractor in La Grange, IL
• Providers in La Grange, IL by specialty
• Sports Physician Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.