Chiropractic Sports Therapy & Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10751 Issued in TX

Legal business name

CHIROPRACTIC SPORTS THERAPY & WELLNESS CENTER

Practice address

11200 Broadway St
Ste 2743
Pearland, TX 77584-9785

Phone

(832) 895-6620

Fax

(832) 436-2793

NPI assigned

Oct 25, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Rebekah Christen White, D.C.

Title

Chiropractic

Phone

(832) 736-8863

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1659657484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 BROADWAY ST",
            "address_2": "STE 2743",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775849785",
            "telephone_number": "832-895-6620",
            "fax_number": "832-436-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 BROADWAY ST",
            "address_2": "STE 2743",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775849785",
            "telephone_number": "832-895-6620",
            "fax_number": "832-436-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC SPORTS THERAPY & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_middle_name": "CHRISTEN",
        "authorized_official_title_or_position": "CHIROPRACTIC",
        "authorized_official_telephone_number": "832-736-8863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10751",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "10748",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Padmaja Chilukoti
• Chinad Healthcare Services, Inc.
• Chiro Source, LLC
• Chirohealth Rehab
• Chirohealth Solutions
• Chiropractors of Pearland
• Chirotecture, PLLC.
• Jaeyeon Cho, DMD
• Jean Cho, P.A-C
• Choiceone Health Services LLC

• Chiropractor in Pearland, TX
• Providers in Pearland, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.