NPIMap

Organization Active NPI

Spine & Sport Rehabilitation Institute

  • Chiropractor
  • Brentwood, TN
National Provider Identifier
1609288802
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2744 Issued in TN
Legal business name
SPINE & SPORT REHABILITATION INSTITUTE
Practice address
217 Jamestown Park
Suite 5
Brentwood, TN 37027-1500
Phone
(615) 861-9559
Fax
(615) 704-0039
NPI assigned
May 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Authorized official

Name
Dr. Audra Lance, D.C.
Title
Owner/Treating Physician
Phone
(615) 861-9559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2744 TN Primary

Addresses

Primary practice location

217 Jamestown Park
Suite 5
Brentwood, TN 37027-1500

Mailing address

217 Jamestown Park
Suite 5
Brentwood, TN 37027-1500
Phone (615) 861-9559

National Provider Directory

National Provider Directory

Locations

217 Jamestown Park
Ste 5
Brentwood, TN 37027
Phone (615) 861-9559

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": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1609288802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 JAMESTOWN PARK",
            "address_2": "SUITE 5",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271500",
            "telephone_number": "615-861-9559",
            "fax_number": "615-704-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 JAMESTOWN PARK",
            "address_2": "SUITE 5",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271500",
            "telephone_number": "615-861-9559",
            "fax_number": "615-704-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & SPORT REHABILITATION INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "LANCE",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_title_or_position": "OWNER/TREATING PHYSICIAN",
        "authorized_official_telephone_number": "615-861-9559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.