Active NPI
Chiro Med of Wayne County, Inc.
- Rehabilitation Chiropractor
- Southfield, MI
National Provider Identifier
1508755109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- Legal business name
- CHIRO MED OF WAYNE COUNTY, INC.
- Doing business as
- Chiro Med of Wayne County, Inc.
- Practice address
- 20775 Greenfield Rd
Southfield, MI 48075 - Phone
- (954) 658-0064
- NPI assigned
- Jun 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sal James Pellegrino, DC
- Title
- Owner/Chiropractor
- Phone
- (954) 658-0064
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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Pediatric Chiropractor | 111NP0017X | |||
| Rehabilitation Chiropractor | 111NR0400X | Primary | ||
| Sports Physician Chiropractor | 111NS0005X | |||
| Orthopedic Chiropractor | 111NX0800X | |||
| Pain Medicine Physician | 208VP0000X |
Addresses
Primary practice location
20775 Greenfield Rd
Southfield, MI 48075
Mailing address
21722 Fall River Dr
Boca Raton, FL 33428-4818
Phone (954) 658-0064
Other names 1
- CHIRO MED OF WAYNE COUNTY, INC.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rehabilitation Chiropractor
- Fort Lauderdale, FL
- NPI 1508908849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751241600000",
"number": "1508755109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21722 FALL RIVER DR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334284818",
"telephone_number": "954-658-0064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20775 GREENFIELD RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48075",
"telephone_number": "954-658-0064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIRO MED OF WAYNE COUNTY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-30",
"last_updated": "2025-06-30",
"certification_date": "2025-06-10",
"status": "A",
"authorized_official_last_name": "PELLEGRINO",
"authorized_official_first_name": "SAL",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
"authorized_official_telephone_number": "954-658-0064",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NP0017X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": null,
"license": null,
"primary": true
},
{
"code": "111NS0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NX0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Orthopedic",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CHIRO MED OF WAYNE COUNTY, INC.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.