Organization Active NPI

Spinal Rehab Center & Healthplex

  • Chiropractor
  • Gaithersburg, MD
National Provider Identifier
1285750638
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S01665 Issued in MD
Legal business name
SPINAL REHAB CENTER & HEALTHPLEX
Practice address
811 Russell Ave Ste B
Gaithersburg, MD 20879-3524
Phone
(301) 987-0111
Fax
(301) 987-0114
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Dolores Zumbado, DC
Title
Chiropractor
Phone
(301) 987-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X S01665 MD Primary

Addresses

Primary practice location

811 Russell Ave Ste B
Gaithersburg, MD 20879-3524

Mailing address

811 Russell Ave Ste B
Gaithersburg, MD 20879-3524
Phone (301) 987-0111

Other names 1

  • dba Bodytech Rehab & Longevity Other name

National Provider Directory

National Provider Directory

Locations

811 Russell Ave
Ste B
Gaithersburg, MD 20879
Phone (301) 740-9339

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1285750638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 RUSSELL AVE STE B",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793524",
            "telephone_number": "301-987-0111",
            "fax_number": "301-987-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 RUSSELL AVE STE B",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793524",
            "telephone_number": "301-987-0111",
            "fax_number": "301-987-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL REHAB CENTER & HEALTHPLEX",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "ZUMBADO",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "301-987-0111",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Bodytech Rehab & Longevity",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.