Organization Active NPI

Repair Recover Restore Chiropractic P.C.

  • Chiropractor
  • White Plains, NY
National Provider Identifier
1265083745
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
REPAIR RECOVER RESTORE CHIROPRACTIC P.C.
Practice address
95 Church St Ste 200
White Plains, NY 10601-1518
Phone
(914) 506-5777
Fax
(914) 328-8003
NPI assigned
Sep 25, 2019
Last updated
Oct 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Stephen Handler, DCNPI 1043687817
Title
Co-Owner
Phone
(845) 598-8137

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

95 Church St Ste 200
White Plains, NY 10601-1518

Mailing address

95 Church St Ste 200
White Plains, NY 10601-1518
Phone (914) 506-5777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191217001859 NY Part B Supplier - Clinic/Group Practice 9638503113 Receives reassigned benefits from 1 practitioner
Practice locations: White Plains, NY

National Provider Directory

National Provider Directory

Locations

95 Church St
Ste 200
White Plains, NY 10601
Phone (914) 506-5777

95 Church St
Ste 210
White Plains, NY 10601
Phone (845) 513-6805

Practitioners & affiliated clinicians

Practitioners 8

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": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1265083745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 CHURCH ST STE 200",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011518",
            "telephone_number": "914-506-5777",
            "fax_number": "315-936-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 CHURCH ST STE 200",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011518",
            "telephone_number": "914-506-5777",
            "fax_number": "914-328-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPAIR RECOVER RESTORE CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "HANDLER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "845-598-8137",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.