NPIMap

Organization Active NPI

Southern Spinal Rehab, LLC

  • Chiropractor
  • Pensacola, FL
National Provider Identifier
1396994133
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6329 Issued in FL
Legal business name
SOUTHERN SPINAL REHAB, LLC
Practice address
91 W Hood Dr
Pensacola, FL 32534-3019
Phone
(850) 475-4227
Fax
(850) 475-8200
NPI assigned
Sep 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Authorized official

Name
Dr. Stephen B Haas, D.C.
Title
President / Owner
Phone
(850) 475-4227

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 6329 FL Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

91 W Hood Dr
Pensacola, FL 32534-3019

Mailing address

91 W Hood Dr
Pensacola, FL 32534-3019
Phone (850) 475-4227

National Provider Directory

National Provider Directory

Locations

91 W Hood Dr
Pensacola, FL 32534
Phone (850) 475-4227

Practitioners & affiliated clinicians

Practitioners 1

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": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1396994133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 W HOOD DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325343019",
            "telephone_number": "850-475-4227",
            "fax_number": "850-475-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 W HOOD DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325343019",
            "telephone_number": "850-475-4227",
            "fax_number": "850-475-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SPINAL REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "850-475-4227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "6329",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.