NPIMap

Organization Active NPI

Shea Sports Chiropractic, LLC

  • Sports Physician Chiropractor
  • North Andover, MA
National Provider Identifier
1104164102
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
3313 Issued in MA
Legal business name
SHEA SPORTS CHIROPRACTIC, LLC
Practice address
1820 Turnpike St
Suite 200
North Andover, MA 01845-6398
Phone
(978) 688-6181
Fax
(978) 688-5120
NPI assigned
Jan 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Authorized official

Name
Dr. Alexa L Shea, D.C.NPI 1083946578
Title
Doctor of Chiropractic
Phone
(978) 660-5813

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 3313 MA Primary

Addresses

Primary practice location

1820 Turnpike St
Suite 200
North Andover, MA 01845-6398

Mailing address

1820 Turnpike St
Suite 200
North Andover, MA 01845-6398
Phone (978) 688-6181

Other names 1

  • Shea Sports Chiropractic Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1104164102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 TURNPIKE ST",
            "address_2": "SUITE 200",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456398",
            "telephone_number": "978-688-6181",
            "fax_number": "978-688-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 TURNPIKE ST",
            "address_2": "SUITE 200",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456398",
            "telephone_number": "978-688-6181",
            "fax_number": "978-688-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEA SPORTS CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "ALEXA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "978-660-5813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MA",
            "license": "3313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shea Sports Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.