Active Spine & Rehab Center, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ACTIVE SPINE & REHAB CENTER, PLLC

Practice address

8224 Cottsbrooke Dr
Huntersville, NC 28078

Phone

(704) 302-1497

NPI assigned

Oct 4, 2006

Organization subpart

No

Name

Dr. Spencer Michael Charlet, D.C.NPI 1932290996

Title

Member

Phone

(704) 302-1497

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

• Spencer Michael Charlet, D.C.

  • Chiropractor
  • Mooresville, NC
  • NPI 1932290996
  Medicare reassignment NPD Authorized official CHIROPRACTOR · NC
• Richard Clyde Bowes III, D.C.

  • Chiropractor
  • Mooresville, NC
  • NPI 1255594339
  NPD (past) CHIROPRACTOR

Medicare fee-for-service enrollment

Enrolled in NC

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366537359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8224 COTTSBROOKE DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "28078",
            "telephone_number": "704-302-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8224 COTTSBROOKE DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "28078",
            "telephone_number": "704-302-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE SPINE & REHAB CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHARLET",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "704-302-1497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ace Family Chiropractic
• Afua Boatemaa Acheampong, PA-C
• Ryan D. Ackerman
• Stephanie Acosta
• Emily Acquarulo, MLS(ASCP CM)
• Tanya M Activille, LCMHCA
• Ashley Adams
• Brandi Adams, MD
• Courtney Brooke Adams, CCC-SLP
• Mariah Myesha Adams

• All providers in Huntersville, NC
• Chiropractor in North Carolina

• 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.