Resilient Associates

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

2649 Issued in TN

Legal business name

RESILIENT ASSOCIATES

Practice address

204 Ward Cir
Ste 300
Brentwood, TN 37027-7551

Phone

(615) 636-5923

Fax

(615) 915-3187

NPI assigned

Aug 13, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Derek A Leist, D.C.NPI 1073836342

Title

Office Manager

Phone

(615) 636-5923

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

Practitioners 3

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

• Derek Alan Leist, D.C.

  • Rehabilitation Chiropractor
  • Brentwood, TN
  • NPI 1073836342
  NPD (past) Authorized official
• Josh James Renkens, D.C.

  • Rehabilitation Chiropractor
  • Brentwood, TN
  • NPI 1770959678
  NPD (past)
• April Marie Wheeler, D.P.T.

  • Physical Therapist
  • Brentwood, TN
  • NPI 1598202905
  NPD (past)

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485043200000",
    "number": "1225404205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 WARD CIR",
            "address_2": "STE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277551",
            "telephone_number": "615-636-5923",
            "fax_number": "615-915-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 WARD CIR",
            "address_2": "STE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277551",
            "telephone_number": "615-636-5923",
            "fax_number": "615-915-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2017-01-22",
        "status": "A",
        "authorized_official_last_name": "LEIST",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-636-5923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TN",
            "license": "2649",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10999",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "2649",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "2134",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "10999",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josh James Renkens, D.C.
• Replenish Counseling
• Jordan Resch, APRN
• Rescue 1 Global
• Ethan Resetar
• Results-Ast JV, LLC
• Results-Ast JV, LLC
• Results-Ast JV, LLC
• Reviresco Counseling, LLC
• Revive MD

• Rehabilitation Chiropractor in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Rehabilitation Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2017; 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.