Organization Active NPI

Chiropractic and Sports Rehabilitation Institute

  • Chiropractor
  • Boynton Beach, FL
National Provider Identifier
1457594673
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9514 Issued in FL
Legal business name
CHIROPRACTIC AND SPORTS REHABILITATION INSTITUTE
Practice address
8794 Boynton Beach Blvd
Suite 107
Boynton Beach, FL 33472-4423
Phone
(561) 271-3524
NPI assigned
Apr 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Authorized official

Name
David Grant Rudnick, DCNPI 1194902239
Title
Owner
Phone
(561) 271-3524

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 CH9514 FL Primary

Addresses

Primary practice location

8794 Boynton Beach Blvd
Suite 107
Boynton Beach, FL 33472-4423

Mailing address

8794 Boynton Beach Blvd
Suite 107
Boynton Beach, FL 33472-4423

National Provider Directory

National Provider Directory

Locations

8794 Boynton Beach Blvd
Ste 107
Boynton Beach, FL 33472
Phone (561) 271-3524

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": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1457594673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8794 BOYNTON BEACH BLVD",
            "address_2": "SUITE 107",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8794 BOYNTON BEACH BLVD",
            "address_2": "SUITE 107",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724423",
            "telephone_number": "561-271-3524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC AND SPORTS REHABILITATION INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "RUDNICK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-271-3524",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

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