Organization Active NPI

Bain de Vie Riverview LLC

Doing business as Complete Injury and Rehab

  • Chiropractor
  • Riverview, FL
National Provider Identifier
1346676467
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BAIN DE VIE RIVERVIEW LLC
Doing business as
Complete Injury and Rehab
Practice address
13021 Summerfield Square Dr
Riverview, FL 33578-7402
Phone
(813) 907-9898
NPI assigned
Sep 20, 2013
Last updated
May 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Authorized official

Name
Susanne Witt
Title
Director of Operations
Phone
(813) 907-9898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

13021 Summerfield Square Dr
Riverview, FL 33578-7402

Mailing address

10323 Cross Creek Blvd
Suite E
Tampa, FL 33647-2988
Phone (813) 907-9898

Other names 1

  • COMPLETE INJURY AND REHAB Doing business as

National Provider Directory

National Provider Directory

Locations

10323 Cross Creek Blvd
Ste E
Tampa, FL 33647
Phone (813) 574-2460

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.

NPI Registry JSON

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1346676467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10323 CROSS CREEK BLVD",
            "address_2": "SUITE E",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472988",
            "telephone_number": "813-907-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13021 SUMMERFIELD SQUARE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335787402",
            "telephone_number": "813-907-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAIN DE VIE RIVERVIEW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-20",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "813-907-9898"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPLETE INJURY AND REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.