Park Ridge Healthcare and Physical Medicine LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR002472 Issued in GA

Legal business name

PARK RIDGE HEALTHCARE AND PHYSICAL MEDICINE LLC

Practice address

2896 Chamblee Tucker Road
Suite 4
Atlanta, GA 30341

Phone

(770) 457-0584

Fax

(770) 457-0773

NPI assigned

Jun 6, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Joseph Sallarulo, DCNPI 1912990300

Title

Owner

Phone

(770) 457-0584

Specialties & licenses 2

Addresses

Locations

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.

• Patrick Joseph Sallarulo, D.C.

  • Chiropractor
  • Atlanta, GA
  • NPI 1912990300
  NPD Authorized official

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499817600000",
    "number": "1366971277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2896 CHAMBLEE TUCKER RD STE 2",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414009",
            "telephone_number": "770-457-0584",
            "fax_number": "770-457-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2896 CHAMBLEE TUCKER ROAD",
            "address_2": "SUITE 4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30341",
            "telephone_number": "770-457-0584",
            "fax_number": "770-457-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK RIDGE HEALTHCARE AND PHYSICAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2017-07-12",
        "status": "A",
        "authorized_official_last_name": "SALLARULO",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-457-0584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR002472",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vrati Parikh, MD
• Briana Louise Paris
• Caroline Paris, LAPC
• Miranda Paris
• Monica Elizabeth Parise, M.D.
• Allison Park
• April Kaeun Park, OTD
• Arthur Chul Park, O.D.
• Benjamin Park, MD
• Catherine Park, M.D.

• Chiropractor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; 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.