Organization Active NPI

Rockwall Injury Rehab

  • Rehabilitation Chiropractor
  • Rockwall, TX
National Provider Identifier
1366575953
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
8224 Issued in TX
Legal business name
ROCKWALL INJURY REHAB
Practice address
2920 Ridge Rd
Rockwall, TX 75032-5803
Phone
(972) 772-4878
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kenya Salliergray
Title
Bus Operations MGR.
Phone
(214) 206-4952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 8224 TX Primary

Addresses

Primary practice location

2920 Ridge Rd
Rockwall, TX 75032-5803

Mailing address

4025 River Branch TRL
Plano, TX 75024-3795
Phone (972) 772-4878

National Provider Directory

National Provider Directory

Locations

2920 Ridge Rd
Rockwall, TX 75032
Phone (727) 724-8789

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366575953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 RIVER BRANCH TRL",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243795",
            "telephone_number": "972-772-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 RIDGE RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325803",
            "telephone_number": "972-772-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWALL INJURY REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALLIERGRAY",
        "authorized_official_first_name": "KENYA",
        "authorized_official_title_or_position": "BUS OPERATIONS MGR.",
        "authorized_official_telephone_number": "214-206-4952"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "8224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.