Active NPI
Allied Health & Rehabilitation
- Rehabilitation Chiropractor
- Tallahassee, FL
National Provider Identifier
1134500606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- CH10381
- Legal business name
- ALLIED HEALTH & REHABILITATION
- Practice address
- 842 E Park Ave
Tallahassee, FL 32301-0403 - Phone
- (678) 637-3416
- NPI assigned
- Jun 10, 2015
- Last updated
- Oct 31, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Martine Charles, DC
- Title
- Owner
- Phone
- (678) 637-3416
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | CH10381 | FL | Primary |
Addresses
Primary practice location
842 E Park Ave
Tallahassee, FL 32301-0403
Mailing address
177 Salem CT
Tallahassee, FL 32301-2809
Phone (678) 637-3416
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4678377624 | Other | FL | CERTIFIED MEDICAL EXAMINER (CME) |
Other names 1
- Marianna Health & Rehab
National Provider Directory
National Provider DirectoryLocations
405B E Jefferson St
Quincy, FL 32351
Phone (850) 627-6325
177 Salem Ct
Tallahassee, FL 32301
Phone (850) 328-0424
842 E Park Ave
Tallahassee, FL 32301
Phone (678) 637-3416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477872000000",
"number": "1134500606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 SALEM CT",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323012809",
"telephone_number": "678-637-3416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "842 E PARK AVE",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323010403",
"telephone_number": "678-637-3416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIED HEALTH & REHABILITATION",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-10",
"last_updated": "2016-10-31",
"status": "A",
"authorized_official_last_name": "CHARLES",
"authorized_official_first_name": "MARTINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-637-3416",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "FL",
"license": "CH10381",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED MEDICAL EXAMINER (CME)",
"identifier": "4678377624",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Marianna Health & Rehab",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.