Organization Active NPI

Comfort Rehab PA

  • Chiropractor
  • Cedar Hill, TX
National Provider Identifier
1487847034
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9421 Issued in TX
Legal business name
COMFORT REHAB PA
Practice address
950 E Belt Line Rd
#180
Cedar Hill, TX 75104-2422
Phone
(469) 272-7000
Fax
(469) 272-3069
NPI assigned
Aug 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Authorized official

Name
Dr. Bryan McCormick, D.C.NPI 1649237801
Title
President
Phone
(469) 272-7000

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 9421 TX Primary

Addresses

Primary practice location

950 E Belt Line Rd
#180
Cedar Hill, TX 75104-2422

Mailing address

950 E Belt Line Rd
#180
Cedar Hill, TX 75104-2422
Phone (469) 272-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131204000676 TX Part B Supplier - Clinic/Group Practice 1254567803 Receives reassigned benefits from 3 practitioners
Practice locations: Cedar Hill, TX

National Provider Directory

National Provider Directory

Locations

950 E Belt Line Rd
Ste 180
Cedar Hill, TX 75104
Phone (469) 272-7000

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": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1487847034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E BELT LINE RD",
            "address_2": "#180",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042422",
            "telephone_number": "469-272-7000",
            "fax_number": "469-272-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E BELT LINE RD",
            "address_2": "#180",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042422",
            "telephone_number": "469-272-7000",
            "fax_number": "469-272-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT REHAB PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-272-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.