Active NPI
Zen Physical Medicine LTD
- Chiropractor
- Rockford, IL
National Provider Identifier
1467533497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038009452
- Legal business name
- ZEN PHYSICAL MEDICINE LTD
- Practice address
- 5301 E State St
Suite112
Rockford, IL 61108-2388 - Phone
- (815) 395-8676
- Fax
- (815) 395-1751
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christine Marian, D.C.
- Title
- President
- Phone
- (815) 395-8676
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038009452 | IL | Primary |
Addresses
Primary practice location
5301 E State St
Suite112
Rockford, IL 61108-2388
Mailing address
5301 E State St
Suite112
Rockford, IL 61108-2901
Phone (815) 395-8676
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023095155 | Other | IL | INDIVIDUAL NPI # |
| 038-009452 | Other | IL | CHIROPRACTIC LICENSE # |
National Provider Directory
National Provider DirectoryLocations
2222 E State St
Ste 105
Rockford, IL 61104
Phone (815) 395-8676
5301 E State St
Ste 112
Rockford, IL 61108
Phone (815) 395-8676
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- North Aurora, IL
- NPI 1023095155
-
- Chiropractor
- Loves Park, IL
- NPI 1316338270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333411200000",
"number": "1467533497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 E STATE ST",
"address_2": "SUITE112",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082901",
"telephone_number": "815-395-8676",
"fax_number": "815-395-1751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 E STATE ST",
"address_2": "SUITE112",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082388",
"telephone_number": "815-395-8676",
"fax_number": "815-395-1751"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZEN PHYSICAL MEDICINE LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2012-04-03",
"status": "A",
"authorized_official_last_name": "MARIAN",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "815-395-8676",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038009452",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI #",
"identifier": "1023095155",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENSE #",
"identifier": "038-009452",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.