Organization Active NPI

Amity Chiropractic & Rehabilitation Center, LLC

  • Chiropractor
  • Woodbridge, CT
National Provider Identifier
1114040144
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
AMITY CHIROPRACTIC & REHABILITATION CENTER, LLC
Practice address
194 Amity Rd
Woodbridge, CT 06525-2239
Phone
(203) 397-2211
Fax
(203) 389-4055
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael A Cocco, D.C.
Title
Director
Phone
(203) 397-2211

Specialties & licenses 1

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

Addresses

Primary practice location

194 Amity Rd
Woodbridge, CT 06525-2239

Mailing address

194 Amity Rd
Woodbridge, CT 06525-2239
Phone (203) 397-2211

National Provider Directory

National Provider Directory

Locations

1 Bradley Rd
Ste 203
Woodbridge, CT 06525
Phone (203) 397-2211

194 Amity Rd
Woodbridge, CT 06525
Phone (203) 397-2211

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": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114040144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 AMITY RD",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252239",
            "telephone_number": "203-397-2211",
            "fax_number": "203-389-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 AMITY RD",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252239",
            "telephone_number": "203-397-2211",
            "fax_number": "203-389-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMITY CHIROPRACTIC & REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COCCO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "203-397-2211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.