Organization Active NPI

Mobile Chiro Rehab, Inc.

  • Chiropractor
  • Fort Lauderdale, FL
National Provider Identifier
1518510841
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MOBILE CHIRO REHAB, INC.
Practice address
618 SW 6TH St
Fort Lauderdale, FL 33315-1034
Phone
(954) 274-0396
NPI assigned
Jul 16, 2019
Last updated
Jul 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Paige Fusco
Title
Assistant
Phone
(772) 333-2648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

618 SW 6TH St
Fort Lauderdale, FL 33315-1034

Mailing address

618 SW 6TH St
Fort Lauderdale, FL 33315-1034
Phone (954) 274-0396

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1518510841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 SW 6TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333151034",
            "telephone_number": "954-274-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 SW 6TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333151034",
            "telephone_number": "954-274-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE CHIRO REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "FUSCO",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "772-333-2648"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.