Organization Active NPI

Chiropractic and Rehabilitation Associates Inc

  • Chiropractor
  • Bradenton, FL
National Provider Identifier
1174555213
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
HCC3754 Issued in FL
Legal business name
CHIROPRACTIC AND REHABILITATION ASSOCIATES INC
Practice address
4011 26TH St W
Bradenton, FL 34205-3511
Phone
(941) 753-3949
Fax
(941) 753-8444
NPI assigned
Jul 7, 2006
Last updated
May 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Mrs. Linda Ann Bruce
Title
Office Administrator
Phone
(941) 753-3949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X HCC3754 FL Primary

Addresses

Primary practice location

4011 26TH St W
Bradenton, FL 34205-3511

Mailing address

4011 26TH St W
Bradenton, FL 34205-3511
Phone (941) 753-3949

Other identifiers 1

IdentifierTypeStateIssuer
380848301MedicaidFL

Other names 1

  • Chiropractic and Rehabilitation Associates Inc Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1174555213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342053511",
            "telephone_number": "941-753-3949",
            "fax_number": "941-753-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342053511",
            "telephone_number": "941-753-3949",
            "fax_number": "941-753-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC AND REHABILITATION ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "941-753-3949",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "HCC3754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380848301",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic and Rehabilitation Associates Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.