Active NPI
Rebel Performance Chiropractic
- Chiropractor
- Pittsburgh, PA
National Provider Identifier
1316484405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC011216
- Legal business name
- REBEL PERFORMANCE CHIROPRACTIC
- Practice address
- 600 Iron City Dr
Pittsburgh, PA 15205-4349 - Phone
- (412) 552-3416
- Fax
- (412) 250-0090
- NPI assigned
- Jan 26, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nathan David Crain, D.C.
- Title
- Chiropractor
- Phone
- (412) 552-3416
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC011216 | PA | Primary |
Addresses
Primary practice location
600 Iron City Dr
Pittsburgh, PA 15205-4349
Mailing address
600 Iron City Dr
Pittsburgh, PA 15205-4349
Phone (412) 552-3416
National Provider Directory
National Provider DirectoryLocations
600 Iron City Dr
Pittsburgh, PA 15205
Phone (412) 444-4455
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Pittsburgh, PA
- NPI 1497291876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485388800000",
"number": "1316484405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 IRON CITY DR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152054349",
"telephone_number": "412-552-3416",
"fax_number": "412-250-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 IRON CITY DR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152054349",
"telephone_number": "412-552-3416",
"fax_number": "412-250-0090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REBEL PERFORMANCE CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-26",
"last_updated": "2017-01-26",
"status": "A",
"authorized_official_last_name": "CRAIN",
"authorized_official_first_name": "NATHAN",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "412-552-3416",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "PA",
"license": "DC011216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.