Advanced Sports Rehab of Frisco

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

Legal business name

ADVANCED SPORTS REHAB OF FRISCO

Practice address

12021 Dallas Pkwy
Ste. 200
Frisco, TX 75033-3677

Phone

(972) 578-2225

Fax

(972) 578-2201

NPI assigned

Jan 14, 2015

Last updated

Jan 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rayna L Miles

Title

Billing Agent

Phone

(817) 932-7066

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1699164640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12021 DALLAS PKWY",
            "address_2": "STE. 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12021 DALLAS PKWY",
            "address_2": "STE. 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333677",
            "telephone_number": "972-578-2225",
            "fax_number": "972-578-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPORTS REHAB OF FRISCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "RAYNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "817-932-7066",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Chiropractor in Frisco, TX
• Providers in Frisco, TX by specialty
• Rehabilitation Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.