Organization Active NPI

Impulse Chiropractic and Rehab LLC

  • Chiropractor
  • Debary, FL
National Provider Identifier
1639836026
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
IMPULSE CHIROPRACTIC AND REHAB LLC
Practice address
2808 Enterprise Rd Ste 101
Debary, FL 32713-2753
Phone
(386) 259-9018
NPI assigned
Nov 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Authorized official

Name
Ms. Casey Lynn Attenberger, DC
Title
Owner
Phone
(386) 259-9018

Specialties & licenses 1

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

Addresses

Primary practice location

2808 Enterprise Rd Ste 101
Debary, FL 32713-2753

Mailing address

2808 Enterprise Rd Ste 101
Debary, FL 32713-2753
Phone (386) 259-9018

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@impulsechiro.net Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

2808 Enterprise Rd
Ste 101
Debary, FL 32713
Phone (386) 259-9018

NPI Registry JSON

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

{
    "created_epoch": "1637366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1639836026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 ENTERPRISE RD STE 101",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132753",
            "telephone_number": "386-259-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 ENTERPRISE RD STE 101",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132753",
            "telephone_number": "386-259-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPULSE CHIROPRACTIC AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-20",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "ATTENBERGER",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-259-9018",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@impulsechiro.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2808 Enterprise Rd Ste 101",
            "city": "Debary",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327132753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Debary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.