Organization Active NPI

Correa Chiropractic Sport and Injuty Rehab

  • Health Service Clinic/Center
  • Apple Valley, MN
National Provider Identifier
1497528863
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
CORREA CHIROPRACTIC SPORT AND INJUTY REHAB
Practice address
14532 Hayes Rd
Apple Valley, MN 55124-7450
Phone
(651) 332-9494
NPI assigned
Nov 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Marily Correa, DC
Title
Owner
Phone
(651) 332-9494

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

14532 Hayes Rd
Apple Valley, MN 55124-7450

Mailing address

14532 Hayes Rd
Lower
Apple Valley, MN 55124-7450
Phone (651) 332-9494

Other practice location 1

14532 Hayes Rd
Apple Valley, MN 55124-7450
Phone (651) 332-9494

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1497528863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14532 HAYES RD",
            "address_2": "LOWER",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247450",
            "telephone_number": "651-332-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14532 HAYES RD",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247450",
            "telephone_number": "651-332-9494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14532 Hayes Rd",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "MN",
            "postal_code": "551247450",
            "country_code": "US",
            "telephone_number": "651-332-9494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORREA CHIROPRACTIC SPORT AND INJUTY REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "MARILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-332-9494",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.