Organization Active NPI

RL Chiropractic PLLC

  • Pediatric Chiropractor
  • Nyack, NY
National Provider Identifier
1477446938
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
Legal business name
RL CHIROPRACTIC PLLC
Practice address
52 North Broadway
Nyack, NY 10960
Phone
(845) 353-2862
NPI assigned
Jun 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Rebecca Jo LarrisNPI 1679194195
Title
DC/Owner
Phone
(516) 578-8508

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
Pediatric ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NP0017X Primary

Addresses

Primary practice location

52 North Broadway
Nyack, NY 10960

Mailing address

52 North Broadway
Nyack, NY 10960
Phone (845) 353-2862

Other names 1

  • RL Chiropractic PLLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260407001850 NY Part B Supplier - Clinic/Group Practice 9830664994 Receives reassigned benefits from 1 practitioner
Practice locations: Nyack, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1748822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1477446938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 NORTH BROADWAY",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "10960",
            "telephone_number": "845-353-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 NORTH BROADWAY",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "10960",
            "telephone_number": "845-353-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RL CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "LARRIS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "DC/OWNER",
        "authorized_official_telephone_number": "516-578-8508"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RL Chiropractic PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Nyack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.