Precision Wellness and Rehab Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

955 Issued in MS

Legal business name

PRECISION WELLNESS AND REHAB CENTER, LLC

Practice address

5935 Washington Ave
Suite C
Ocean Springs, MS 39564-2642

Phone

(228) 875-0595

Fax

(228) 875-2210

NPI assigned

May 14, 2007

Last updated

Nov 18, 2010By 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

Dr. John L Ciotti Jr., D.C

Title

Owner

Phone

(228) 875-0595

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 3

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.

• David Hoffman

  • Chiropractor
  • Ocean Springs, MS
  • NPI 1003239393
  Medicare reassignment NPD
• Rodney J Nichols, P.T.

  • Physical Therapist
  • Ocean Springs, MS
  • NPI 1841229564
  NPD (past)
• Peter John Vitello, MSPT

  • Physical Therapist
  • Matthews, NC
  • NPI 1336165026
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1235344821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1462",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395661462",
            "fax_number": "228-875-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5935 WASHINGTON AVE",
            "address_2": "SUITE C",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395642642",
            "telephone_number": "228-875-0595",
            "fax_number": "228-875-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION WELLNESS AND REHAB CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "CIOTTI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-875-0595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP # FOR AET NA",
            "identifier": "5291607",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP # FOR BLUE CROSS MS",
            "identifier": "123465039A",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015198",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Daisha Rhea Pratt, RBT
• Premier Dermatology and Skin Cancer Center, PLLC
• Cecelia Claire Prentiss, OT
• Angela Belinda Pressley-Wallace, M.D.
• Preventive Caremd, LLC
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• Chiropractor in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Chiropractor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.