Organization Active NPI

Elite Rehab Nola

  • Chiropractor
  • Metairie, LA
National Provider Identifier
1255877122
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ELITE REHAB NOLA
Practice address
2404 Edenborn Ave
Metairie, LA 70001-1817
Phone
(504) 833-2225
NPI assigned
Jan 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

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

Authorized official

Name
Emma Cull
Title
Ceo
Phone
(678) 469-5011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2404 Edenborn Ave
Metairie, LA 70001-1817

Mailing address

220 Royal Crescent Ter
Canton, GA 30115-1837
Phone (678) 469-5011

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484524800000",
    "number": "1255877122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ROYAL CRESCENT TER",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301151837",
            "telephone_number": "678-469-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 EDENBORN AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011817",
            "telephone_number": "504-833-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE REHAB NOLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-01-16",
        "status": "A",
        "authorized_official_last_name": "CULL",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-469-5011"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.