Organization Active NPI

Revitalize Chiropractic & Sports Rehab

  • Health Service Clinic/Center
  • Westfield, MA
National Provider Identifier
1629806104
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
REVITALIZE CHIROPRACTIC & SPORTS REHAB
Practice address
181 Root Rd
Westfield, MA 01085-9837
Phone
(413) 273-7153
NPI assigned
Jul 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Ashlee McGan-Prout, DC
Title
Owner/Chiropractor
Phone
(413) 626-7369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

181 Root Rd
Westfield, MA 01085-9837

Mailing address

335 Sargeant St
Holyoke, MA 01040-2263
Phone (413) 626-7369

Other practice location 1

335 Sargeant St
Holyoke, MA 01040-2263
Phone (413) 626-7369

National Provider Directory

National Provider Directory

Locations

181 Root Rd
Westfield, MA 01085
Phone (413) 273-7153

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": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1629806104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 SARGEANT ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402263",
            "telephone_number": "413-626-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 ROOT RD",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010859837",
            "telephone_number": "413-273-7153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "335 Sargeant St",
            "address_purpose": "LOCATION",
            "city": "Holyoke",
            "state": "MA",
            "postal_code": "010402263",
            "country_code": "US",
            "telephone_number": "413-626-7369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REVITALIZE CHIROPRACTIC & SPORTS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "MCGAN-PROUT",
        "authorized_official_first_name": "ASHLEE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "413-626-7369",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.