Organization Active NPI

Red Roof Chiropractic

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Worcester, MA
National Provider Identifier
1619107026
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
RED ROOF CHIROPRACTIC
Practice address
23 Burncoat St
Worcester, MA 01605-1811
Phone
(508) 459-7766
NPI assigned
Jul 20, 2009
Last updated
Jul 20, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
RED ROOF CHIROPRACTICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Authorized official

Name
David Frey, D.CNPI 1437234226
Title
Chiropractor
Phone
(508) 459-7766

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

23 Burncoat St
Worcester, MA 01605-1811

Mailing address

23 Burncoat St
Worcester, MA 01605-1811

National Provider Directory

National Provider Directory
Part of
Red Roof Chiropractic

Locations

23 Burncoat St
Worcester, MA 01605
Phone (508) 459-7766

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": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1619107026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BURNCOAT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BURNCOAT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051811",
            "telephone_number": "508-459-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ROOF CHIROPRACTIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RED ROOF CHIROPRACTIC",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "FREY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "508-459-7766",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.