Organization Active NPI

Lubbock Injury & Rehab

  • Chiropractor
  • Tyler, TX
National Provider Identifier
1417216797
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10325 Issued in TX
Legal business name
LUBBOCK INJURY & REHAB
Practice address
2712 E 5TH St
Tyler, TX 75701-5021
Phone
(903) 533-0400
Fax
(903) 533-0433
NPI assigned
May 8, 2012
Last updated
May 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Authorized official

Name
Dr. Michael S Stephens, D.C.NPI 1396835591
Title
Owner
Phone
(903) 279-3261

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 10325 TX Primary

Addresses

Primary practice location

2712 E 5TH St
Tyler, TX 75701-5021

Mailing address

2026 82ND St
Suite 101
Lubbock, TX 79423-4344
Phone (903) 279-3261

National Provider Directory

National Provider Directory

Locations

2026 82nd St
Unit 101
Lubbock, TX 79423

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1417216797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 82ND ST",
            "address_2": "SUITE 101",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794234344",
            "telephone_number": "903-279-3261",
            "fax_number": "903-533-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 E 5TH ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015021",
            "telephone_number": "903-533-0400",
            "fax_number": "903-533-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUBBOCK INJURY & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-279-3261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.