The Rock Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9973 Issued in FL

Legal business name

THE ROCK CLINIC LLC

Practice address

111 2ND Ave NE
Suite 208
St Petersburg, FL 33701-3434

Phone

(727) 258-7242

NPI assigned

Jul 24, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jason Ackley, DC

Title

Owner/Chiropractor

Phone

(818) 641-0960

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1469318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469318400000",
    "number": "1609329846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 2ND AVE NE",
            "address_2": "SUITE 208",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013434",
            "telephone_number": "727-258-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 2ND AVE NE",
            "address_2": "SUITE 208",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013434",
            "telephone_number": "727-258-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ROCK CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-24",
        "last_updated": "2016-07-24",
        "status": "A",
        "authorized_official_last_name": "ACKLEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "818-641-0960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2016; 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.