Organization Active NPI

Cleveland Chiropractic and Rehabilitation Inc

  • Chiropractor
  • Cleveland, TN
National Provider Identifier
1194483826
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CLEVELAND CHIROPRACTIC AND REHABILITATION INC
Practice address
4645 N Lee Hwy
Cleveland, TN 37312-4042
Phone
(423) 790-1451
Fax
(423) 790-1252
NPI assigned
Nov 30, 2021
Last updated
Nov 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
Rachel Masterson, DCNPI 1932549714
Title
Owner
Phone
(423) 790-1451

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
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4645 N Lee Hwy
Cleveland, TN 37312-4042

Mailing address

4645 N Lee Hwy
Cleveland, TN 37312-4042
Phone (423) 790-1451

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220516000616 TN Part B Supplier - Clinic/Group Practice 9830576735 Receives reassigned benefits from 2 practitioners
Practice locations: Cleveland, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1194483826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 N LEE HWY",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124042",
            "telephone_number": "423-790-1451",
            "fax_number": "423-790-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 N LEE HWY",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124042",
            "telephone_number": "423-790-1451",
            "fax_number": "423-790-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND CHIROPRACTIC AND REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "MASTERSON",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-790-1451",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.