Individual provider Active NPI

Allison R Cohen, D.C., CCSP

  • Sports Physician Chiropractor
  • Hurst, TX
National Provider Identifier
1679658298
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
6533 Issued in TX
Practice address
1149 Precinct Line Rd
Suite C
Hurst, TX 76053-4288
Phone
(817) 284-2827
Fax
(817) 589-8548
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 6533 TX Primary

Addresses

Primary practice location

1149 Precinct Line Rd
Suite C
Hurst, TX 76053-4288

Mailing address

1149 Precinct Line Rd
Suite C
Hurst, TX 76053-4288
Phone (817) 284-2827

Other identifiers 1

IdentifierTypeStateIssuer
8R9170OtherTXBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050420000713 TX Practitioner - Chiropractic 5698713675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1149 Precinct Line Rd
Suite C
Hurst, TX 76053-4289
Phone (817) 284-2827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6533TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A.C. Chiropractic, P.C. Sports Physician CurrentSince Jan 3, 2005 Accepting new patients

Locations

1149 Precinct Line Rd
Ste C
Hurst, TX 76053
Phone (817) 284-2827

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679658298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 PRECINCT LINE RD",
            "address_2": "SUITE C",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534288",
            "telephone_number": "817-284-2827",
            "fax_number": "817-589-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 PRECINCT LINE RD",
            "address_2": "SUITE C",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534288",
            "telephone_number": "817-284-2827",
            "fax_number": "817-589-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ALLISON",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C., CCSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "6533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8R9170",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.