Organization Active NPI

Poff Chiropractic & Rehabilitation LLC

  • Rehabilitation Chiropractor
  • Greenville, SC
National Provider Identifier
1194155515
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
3839 Issued in SC
Legal business name
POFF CHIROPRACTIC & REHABILITATION LLC
Practice address
315 E Broad St
Greenville, SC 29601
Phone
(864) 271-4099
NPI assigned
Nov 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Authorized official

Name
Daniel Poff, D.CNPI 1861839656
Title
Owner
Phone
(864) 271-4099

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
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 3839 SC Primary

Addresses

Primary practice location

315 E Broad St
Greenville, SC 29601

Mailing address

315 E Broad St
Greenville, SC 29601-2902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131122001773 SC Part B Supplier - Clinic/Group Practice 9830325786 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2108027Poff Chiropractic & Rehabilitation315 E Broad St, Greenville, SC 29601Certificate of waiverJan 26, 2028

National Provider Directory

National Provider Directory

Locations

315 E Broad St
#B
Greenville, SC 29601
Phone (864) 271-4099

315 E Broad St
Greenville, SC 29601
Phone (864) 271-4099

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": "1384992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1194155515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E BROAD ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E BROAD ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29601",
            "telephone_number": "864-271-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POFF CHIROPRACTIC & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-21",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "POFF",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-271-4099",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "SC",
            "license": "3839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.