Organization Active NPI

Pro Chiropractic and Performance, LLC.

  • Rehabilitation Clinic/Center
  • Columbia, SC
National Provider Identifier
1346635752
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
3877 Issued in SC
Legal business name
PRO CHIROPRACTIC AND PERFORMANCE, LLC.
Practice address
1014 Leesburg Rd
Columbia, SC 29209-2131
Phone
(803) 309-3777
NPI assigned
Apr 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Dr. Patrick Ryan Otoole, D.C.
Title
Owner
Phone
(803) 309-3777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 3877 SC Primary

Addresses

Primary practice location

1014 Leesburg Rd
Columbia, SC 29209-2131

Mailing address

150 Pelham Dr
Columbia, SC 29209-1320
Phone (803) 227-3377

National Provider Directory

National Provider Directory

Locations

150 Pelham Dr
Columbia, SC 29209

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1346635752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PELHAM DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091320",
            "telephone_number": "803-227-3377",
            "fax_number": "803-227-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 LEESBURG RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292092131",
            "telephone_number": "803-309-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO CHIROPRACTIC AND PERFORMANCE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "OTOOLE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-309-3777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "SC",
            "license": "3877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.