Organization Active NPI

Restore Chiropractic & Rehab LLC

  • Chiropractor
  • Lawrence, KS
National Provider Identifier
1467757971
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05374 Issued in KS
Legal business name
RESTORE CHIROPRACTIC & REHAB LLC
Practice address
4824 Quail Crest PL Ste a
Lawrence, KS 66049-3805
Phone
(785) 856-0825
Fax
(785) 856-0826
NPI assigned
Jan 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Abigail Lynn RobinsonNPI 1033414644
Title
President
Phone
(785) 856-0825

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 01-05374 KS Primary

Addresses

Primary practice location

4824 Quail Crest PL Ste a
Lawrence, KS 66049-3805

Mailing address

4824 Quail Crest PL Ste a
Lawrence, KS 66049-3805
Phone (785) 856-0825

Other practice location 1

3120 Mesa Way
Suite A
Lawrence, KS 66049-4200
Phone (785) 842-7325

Other names 2

  • Robinson Chiropractic Former legal business name
  • Robinson Chiropractic LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110412000976 KS Part B Supplier - Clinic/Group Practice 3971787136 Receives reassigned benefits from 2 practitioners
Practice locations: Lawrence, KS

National Provider Directory

National Provider Directory

Locations

4824 Quail Crest Pl
Ste A
Lawrence, KS 66049
Phone (785) 856-0825

Practitioners & affiliated clinicians

Practitioners 3

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": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1467757971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4824 QUAIL CREST PL STE A",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493805",
            "telephone_number": "785-856-0825",
            "fax_number": "785-856-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 QUAIL CREST PL STE A",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493805",
            "telephone_number": "785-856-0825",
            "fax_number": "785-856-0826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3120 Mesa Way",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660494200",
            "country_code": "US",
            "telephone_number": "785-842-7325",
            "fax_number": "785-842-7329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTORE CHIROPRACTIC & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-856-0825"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robinson Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Robinson Chiropractic LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.