Organization Active NPI

Park Hill Chiropractic and Rehabilitation PLLC

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1689040388
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12905 Issued in TX
Legal business name
PARK HILL CHIROPRACTIC AND REHABILITATION PLLC
Doing business as
Park Hill Chiropractic
Practice address
2428 Forest Park Blvd
Suite a
Fort Worth, TX 76110-1780
Phone
(682) 703-1529
NPI assigned
Aug 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Authorized official

Name
Dr. Seth Elliott, DCNPI 1598150559
Title
Owner
Phone
(405) 664-8671

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 12905 TX Primary

Addresses

Primary practice location

2428 Forest Park Blvd
Suite a
Fort Worth, TX 76110-1780

Mailing address

2428 Forest Park Blvd
Suite a
Fort Worth, TX 76110-1780
Phone (682) 703-1529

Other names 1

  • Park Hill Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

2428 Forest Park Blvd
Ste A
Fort Worth, TX 76110
Phone (682) 703-1529

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": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1689040388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 FOREST PARK BLVD",
            "address_2": "SUITE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101780",
            "telephone_number": "682-703-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 FOREST PARK BLVD",
            "address_2": "SUITE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101780",
            "telephone_number": "682-703-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK HILL CHIROPRACTIC AND REHABILITATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-664-8671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Hill Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.