Chiropractic Sports & Wellness PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

650 Issued in WY

Legal business name

CHIROPRACTIC SPORTS & WELLNESS PC

Practice address

1021 E Lincolnway
Cheyenne, WY 82001-4851

Phone

(307) 635-7727

Fax

(307) 638-0423

NPI assigned

Dec 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul R Cassista, D.C.NPI 1548272552

Title

Owner

Phone

(307) 635-7727

Specialties & licenses 1

Addresses

Tax ID family

Chiropractic Sports Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Chiropractic Sports & Wellness PC

  • Chiropractor
  • Cheyenne, WY
  • NPI 1114216082
  NPD tax ID

Practitioners 2

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

• Paul Romeo Cassista, DC

  • Chiropractor
  • Cheyenne, WY
  • NPI 1548272552
  NPD Authorized official
• Joshua Daniel Barousse, D.C.

  • Chiropractor
  • Picayune, MS
  • NPI 1477853315
  NPD (past)

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1285818641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 E LINCOLNWAY",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014843",
            "telephone_number": "307-635-7727",
            "fax_number": "307-638-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 E LINCOLNWAY",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014851",
            "telephone_number": "307-635-7727",
            "fax_number": "307-638-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC SPORTS & WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "CASSISTA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-635-7727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children'S Hospital Colorado
• Children'S Therapy Group, LLC
• Jason Chin
• Chiroplus
• Chiropractic Sports & Wellness PC
• Choice Counseling
• Choices and Changes LLC
• Brant R Christensen, AU.D.
• Conner John Christensen, D.D.S.
• Scott Douglas Christensen

• Chiropractor in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Chiropractor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.