Accident and Injury Rehab Center, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ACCIDENT AND INJURY REHAB CENTER, INC

Practice address

6114 W Capitol Dr Ste 100-102
Milwaukee, WI 53216-2147

Phone

(414) 433-0433

NPI assigned

Aug 19, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Kelly George Von-Schilling Worth, DC, DACAN, FIACNNPI 1285703710

Title

Clinic Director

Phone

(262) 770-7014

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly G. Von-Schilling Worth, DC, FIACN, DACAN

  • Neurology Chiropractor
  • Mount Pleasant, WI
  • NPI 1285703710

  WI

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1194337212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44398",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534047007",
            "telephone_number": "414-433-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6114 W CAPITOL DR STE 100-102",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162147",
            "telephone_number": "414-433-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCIDENT AND INJURY REHAB CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "VON-SCHILLING WORTH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "262-770-7014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, DACAN, FIACN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.