NPIMap

Organization Active NPI

Ron Cottrell and Anthony Werbelow Chiropractic Corporation

Doing business as Active Mobility Chiropractic Rehabilitation Group

  • Sports Physician Chiropractor
  • Vista, CA
National Provider Identifier
1336697507
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
Legal business name
RON COTTRELL AND ANTHONY WERBELOW CHIROPRACTIC CORPORATION
Doing business as
Active Mobility Chiropractic Rehabilitation Group
Practice address
1680 S Melrose Dr
Suite 105
Vista, CA 92081-5472
Phone
(760) 599-4900
Fax
(760) 599-9037
NPI assigned
Sep 16, 2016
Last updated
Sep 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Authorized official

Name
Dr. Ron Stevens Cottrell, D.C.
Title
President
Phone
(760) 599-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X Primary

Addresses

Primary practice location

1680 S Melrose Dr
Suite 105
Vista, CA 92081-5472

Mailing address

1680 S Melrose Dr
Suite 105
Vista, CA 92081-5472
Phone (760) 599-4900

Other names 1

  • Active Mobility Chiropractic Rehabilitation Group Doing business as

National Provider Directory

National Provider Directory

Locations

1680 S Melrose Dr
Ste 105
Vista, CA 92081
Phone (760) 599-4900

NPI Registry JSON

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1336697507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 S MELROSE DR",
            "address_2": "SUITE 105",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920815472",
            "telephone_number": "760-599-4900",
            "fax_number": "760-599-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 S MELROSE DR",
            "address_2": "SUITE 105",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920815472",
            "telephone_number": "760-599-4900",
            "fax_number": "760-599-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RON COTTRELL AND ANTHONY WERBELOW CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "COTTRELL",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "STEVENS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-599-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Mobility Chiropractic Rehabilitation Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.