Resilience Spine & Sports Rehab, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RESILIENCE SPINE & SPORTS REHAB, LLC

Practice address

970 Balch Rd
Madison, AL 35758-9715

Phone

(256) 258-8255

Fax

(205) 289-1316

NPI assigned

Dec 23, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Alexander William Sarazen, DCNPI 1073103883

Title

Owner, Chiropractic Physician

Phone

(256) 258-8255

Specialties & licenses 2

Addresses

Other names 1

• Resilience Spine & Sports Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

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

• Alexander William Sarazen

  • Chiropractor
  • Madison, AL
  • NPI 1073103883
  Medicare reassignment NPD Authorized official
• Jill Suzanne Harbin, DC

  • Chiropractor
  • Madison, AL
  • NPI 1588042410
  NPD (past)

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1215649017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 BALCH RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589715",
            "telephone_number": "256-258-8255",
            "fax_number": "205-289-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 BALCH RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589715",
            "telephone_number": "256-258-8255",
            "fax_number": "205-289-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE SPINE & SPORTS REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "SARAZEN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER, CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "256-258-8255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resilience Spine & Sports Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ian Reuter, DDS

• Chiropractor in Madison, AL
• Providers in Madison, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.