Organization Active NPI

Springfield Chiropractic Sports Rehab Ctr LLP

  • Chiropractor
  • Springfield, MA
National Provider Identifier
1346305372
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1891 Issued in MA
Legal business name
SPRINGFIELD CHIROPRACTIC SPORTS REHAB CTR LLP
Practice address
535 Allen Street
Suite 2
Springfield, MA 01118-2067
Phone
(413) 731-5004
Fax
(413) 734-6550
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Robert Collard, DCNPI 1073623195
Title
Co Owner
Phone
(413) 731-5004

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 1891 MA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 1324 MA

Addresses

Primary practice location

535 Allen Street
Suite 2
Springfield, MA 01118-2067

Mailing address

535 Allen Street
Suite 2
Springfield, MA 01118-2067
Phone (413) 731-5004

Other identifiers 1

IdentifierTypeStateIssuer
Y39144OtherMABCBSMA GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080716000026 MA Part B Supplier - Clinic/Group Practice 9133292782 Receives reassigned benefits from 2 practitioners
Practice locations: Springfield, MA

National Provider Directory

National Provider Directory

Locations

535 Allen St
Ste 2
Springfield, MA 01118
Phone (413) 731-5004

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346305372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 ALLEN STREET",
            "address_2": "SUITE 2",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011182067",
            "telephone_number": "413-731-5004",
            "fax_number": "413-734-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 ALLEN STREET",
            "address_2": "SUITE 2",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011182067",
            "telephone_number": "413-731-5004",
            "fax_number": "413-734-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD CHIROPRACTIC SPORTS REHAB CTR LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLARD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "413-731-5004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1891",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1324",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA GROUP #",
            "identifier": "Y39144",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.