Organization Active NPI

Lifetime Chiropractic Inc

  • Rehabilitation Clinic/Center
  • Everett, MA
National Provider Identifier
1285294116
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
LIFETIME CHIROPRACTIC INC
Practice address
373 Broadway
Everett, MA 02149-3425
Phone
(857) 363-2200
Fax
(857) 472-7373
NPI assigned
Jun 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Authorized official

Name
Frances Rivera
Title
Owner
Phone
(857) 363-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

373 Broadway
Everett, MA 02149-3425

Mailing address

433 Broadway Ste E
Everett, MA 02149-3401
Phone (857) 363-2202

National Provider Directory

National Provider Directory

Locations

433 Broadway
Ste E
Everett, MA 02149

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1285294116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 BROADWAY STE E",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493401",
            "telephone_number": "857-363-2202",
            "fax_number": "857-472-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 BROADWAY",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493425",
            "telephone_number": "857-363-2200",
            "fax_number": "857-472-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "857-363-2200"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.