NPIMap

Organization Active NPI

Abita Chiropractic LLC

  • Chiropractor
  • Abita Springs, LA
National Provider Identifier
1235464488
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1013 Issued in LA
Legal business name
ABITA CHIROPRACTIC LLC
Practice address
71623 Hickory St.
Abita Springs, LA 70420
Phone
(985) 893-1181
Fax
(985) 893-0414
NPI assigned
Oct 6, 2009
Last updated
Oct 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Authorized official

Name
Michael Joseph Petrosky, DCNPI 1225243157
Title
Owner
Phone
(985) 893-1181

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
Chiropractor 111N00000X 1013 LA Primary

Addresses

Primary practice location

71623 Hickory St.
Abita Springs, LA 70420

Mailing address

P.O. Box 836
71623 Hickory St.
Abita Springs, LA 70420
Phone (985) 893-1181

National Provider Directory

National Provider Directory

Locations

71623 Hickory St
Abita Springs, LA 70420
Phone (985) 892-3250

Practitioners & affiliated clinicians

Practitioners 1

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": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1235464488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 836",
            "address_2": "71623 HICKORY ST.",
            "city": "ABITA SPRINGS",
            "state": "LA",
            "postal_code": "70420",
            "telephone_number": "985-893-1181",
            "fax_number": "985-893-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71623 HICKORY ST.",
            "city": "ABITA SPRINGS",
            "state": "LA",
            "postal_code": "70420",
            "telephone_number": "985-893-1181",
            "fax_number": "985-893-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABITA CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "PETROSKY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-893-1181",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abita Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.