NPIMap

Organization Active NPI

Aquidneck Chiropractic and Performance Rehabilitation

  • Chiropractor
  • Middletown, RI
National Provider Identifier
1700613171
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
AQUIDNECK CHIROPRACTIC AND PERFORMANCE REHABILITATION
Practice address
1272 West Main Rd., Building 2
First Floor
Middletown, RI 02842-6405
Phone
(401) 849-7011
Fax
(401) 847-1449
NPI assigned
Sep 18, 2024
Last updated
Sep 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Patrick D. Cullen, DCNPI 1124774567
Title
Owner
Phone
(401) 849-7011

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1272 West Main Rd., Building 2
First Floor
Middletown, RI 02842-6405

Mailing address

1272 W Main Rd BLDG 2
Middletown, RI 02842-6405
Phone (401) 849-7011

Other names 1

  • Aquidneck Chiropractic LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1700613171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 W MAIN RD BLDG 2",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028426405",
            "telephone_number": "401-849-7011",
            "fax_number": "401-847-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 WEST MAIN RD., BUILDING 2",
            "address_2": "FIRST FLOOR",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028426405",
            "telephone_number": "401-849-7011",
            "fax_number": "401-847-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUIDNECK CHIROPRACTIC AND PERFORMANCE REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-849-7011",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aquidneck Chiropractic LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Aquidneck Chiropractic LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Middletown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.