Organization Active NPI

Spine Wellness & Rehab LLC

Doing business as Spine Wellness & Rehab

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1508570094
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPINE WELLNESS & REHAB LLC
Doing business as
Spine Wellness & Rehab
Practice address
17925 Barker CT # 200
Omaha, NE 68118-2261
Phone
(402) 577-0236
NPI assigned
Jan 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Dr. Sterling Rupp, DCNPI 1700599503
Title
Owner/ Chiropractor
Phone
(402) 577-0236

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 Primary

Addresses

Primary practice location

17925 Barker CT # 200
Omaha, NE 68118-2261

Mailing address

17925 Barker CT # 200
Omaha, NE 68118-2261
Phone (402) 577-0236

Other names 1

  • Spine Wellness & Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230131001654 NE Part B Supplier - Clinic/Group Practice 3173994076 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

19060 Q St
Ste 105
Omaha, NE 68135
Phone (402) 577-0236

17925 Barker Ct
Ste 200
Omaha, NE 68118
Phone (402) 577-0236

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": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1508570094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17925 BARKER CT # 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182261",
            "telephone_number": "402-577-0236",
            "fax_number": "402-260-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17925 BARKER CT # 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182261",
            "telephone_number": "402-577-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE WELLNESS & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "RUPP",
        "authorized_official_first_name": "STERLING",
        "authorized_official_title_or_position": "OWNER/ CHIROPRACTOR",
        "authorized_official_telephone_number": "402-577-0236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine Wellness & Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spine Wellness & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.