Organization Active NPI

Samurai Sports & Rehab PLLC

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1558097337
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SAMURAI SPORTS & REHAB PLLC
Practice address
1101 Spring Forest Rd Ste 100
Raleigh, NC 27615-5844
Phone
(919) 390-2267
NPI assigned
Jul 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Authorized official

Name
Dr. Jose O Torres Jr., DC
Title
Owner
Phone
(787) 371-8843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1101 Spring Forest Rd Ste 100
Raleigh, NC 27615-5844

Mailing address

4508 Baymar Dr Apt 304
Raleigh, NC 27612-3280
Phone (787) 371-8843

Other names 1

  • Samurai Sports & Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

1101 Spring Forest Rd
Ste 100
Raleigh, NC 27615
Phone (919) 390-2267

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": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1558097337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4508 BAYMAR DR APT 304",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123280",
            "telephone_number": "787-371-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SPRING FOREST RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155844",
            "telephone_number": "919-390-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMURAI SPORTS & REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-371-8843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "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": "Samurai Sports & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.