Active NPI
Pro Chiropractic and Performance, LLC.
- Rehabilitation Clinic/Center
- Columbia, SC
National Provider Identifier
1346635752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- License
- 3877
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.