Richmond Spine and Rehab

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556661 Issued in VA

Legal business name

RICHMOND SPINE AND REHAB

Practice address

4906 Millridge Pkwy E
Midlothian, VA 23112-4828

Phone

(804) 592-2225

NPI assigned

Jun 10, 2009

Last updated

Aug 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Busch

Title

Practice Manager

Phone

(804) 592-2225

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Greenville Alliance, LLC Former legal business name

Locations

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1194951616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1539",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231131539",
            "telephone_number": "804-592-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 MILLRIDGE PKWY E",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124828",
            "telephone_number": "804-592-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND SPINE AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "BUSCH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "804-592-2225"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1326285834",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION NPI",
            "identifier": "1194951616",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenville Alliance, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Richmond City Taxi Cab,Inc
• Richmond Infectious Disease Associates, PLC
• Richmond Integrative and Functional Medicine
• Richmond Microsurgeons, LLC
• Richmond Mobile Optometry, PC
• Richmond Spine Interventions and Pain Center, PC
• Richmond Stress & Anxiety
• Richmond Therapy Consultants, Inc.
• Richmond Virginia Orthodontics of Midlothian, PLLC
• Richmond Wellness Center LLC (Richmond Wellness Center)

• Chiropractor in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.