Rozell Chiropractic Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ROZELL CHIROPRACTIC INC

Doing business as

Rozell Spine & Sport

Practice address

1 Country Club VW Ste 101
Edwardsville, IL 62025-3693

Phone

(618) 307-9383

Fax

(888) 979-6608

NPI assigned

Jan 16, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Rozell, DCNPI 1114475290

Title

Owner

Phone

(618) 307-9383

Specialties & licenses 2

Addresses

Other names 1

• Rozell Spine & Sport Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

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.

• Nicholas Morey Rozell, DC

  • Chiropractor
  • Edwardsville, IL
  • NPI 1114475290
  Medicare reassignment Care Compare group NPD Authorized official
• Matthew Burton, DPT

  • Physical Therapist
  • Edwardsville, IL
  • NPI 1861017022
  Medicare reassignment Care Compare group NPD
• Ryan Charles Tinsley, DC

  • Chiropractor
  • Edwardsville, IL
  • NPI 1851011035
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1376051169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COUNTRY CLUB VW STE 101",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253693",
            "telephone_number": "618-307-9383",
            "fax_number": "888-979-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COUNTRY CLUB VW STE 101",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253693",
            "telephone_number": "618-307-9383",
            "fax_number": "888-979-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROZELL CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "ROZELL",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-307-9383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rozell Spine & Sport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachary M Rosecrans, SRNA
• Rosewood Care Center, Inc of Edwardsville
• Rosewood Home Health Services, Inc
• Samantha Ross
• Kelly A. Rourke, M.D.
• Kenneth Ryan Rozell, D.C.
• Nicholas Morey Rozell, DC
• Delaney Nichole Ruby, RN
• Hannah Kate Ruesch
• Andrew Colin Russell, MD

• Physical Therapist in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.