The Center for Corrective Exercise

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

THE CENTER FOR CORRECTIVE EXERCISE

Practice address

3975 5TH Ave
Suite 213
San Diego, CA 92103-3101

Phone

(619) 906-7055

Fax

(619) 639-8269

NPI assigned

Nov 6, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Keith Andrew Clarke, CMTNPI 1346616208

Title

Owner

Phone

(858) 522-0526

Specialties & licenses 4

Addresses

Practitioners 1

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

• Keith Andrew Clarke, CPT, CMT

  • Massage Therapist
  • San Diego, CA
  • NPI 1346616208
  NPD (past) Authorized official

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1356714752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W G ST # 819",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016096",
            "telephone_number": "619-906-7055",
            "fax_number": "619-639-8269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 5TH AVE",
            "address_2": "SUITE 213",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033101",
            "telephone_number": "619-906-7055",
            "fax_number": "619-639-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR CORRECTIVE EXERCISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-06",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-522-0526",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CMT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.