Organization Active NPI

Pulaski Injury & Rehab Center, Inc.

  • Chiropractor
  • Little Rock, AR
National Provider Identifier
1477860211
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PULASKI INJURY & REHAB CENTER, INC.
Practice address
10500 W Markham St Ste 118
Little Rock, AR 72205-2187
Phone
(501) 228-5200
Fax
(501) 228-5202
NPI assigned
Aug 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Authorized official

Name
Ryan Johnston
Title
Chiropractor
Phone
(501) 228-5200

Specialties & licenses 1

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

Addresses

Primary practice location

10500 W Markham St Ste 118
Little Rock, AR 72205-2187

Mailing address

10500 W Markham St Ste 118
Little Rock, AR 72205-2187
Phone (501) 228-5200

National Provider Directory

National Provider Directory

Locations

10500 W Markham St
Ste 118
Little Rock, AR 72205
Phone (501) 223-9575

NPI Registry JSON

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1477860211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 W MARKHAM ST STE 118",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052187",
            "telephone_number": "501-228-5200",
            "fax_number": "501-228-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 W MARKHAM ST STE 118",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052187",
            "telephone_number": "501-228-5200",
            "fax_number": "501-228-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULASKI INJURY & REHAB CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "501-228-5200"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.