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

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

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

Title

Member

Phone

(704) 302-1497

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

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.

• Spencer Michael Charlet, D.C.

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

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

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

{
    "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": "",
            "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

• Chiropractor in Huntersville, NC
• Providers in Huntersville, NC by specialty
• 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.