First State Spinal Rehabilitation LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FIRST STATE SPINAL REHABILITATION LLC

Practice address

2500 W 4TH St Ste 4
Wilmington, DE 19805-3352

Phone

(772) 546-9591

NPI assigned

Sep 25, 2019

Last updated

Sep 25, 2019By 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

Ms. Jeneane Marie WakulaNPI 1003238015

Title

Office Manager

Phone

(772) 546-9591

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jeneane Wakula

  • Chiropractor
  • Hobe Sound, FL
  • NPI 1003238015
  Authorized official Same address or phone

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1710538319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9044 SE BRIDGE RD",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334555313",
            "telephone_number": "772-546-9591",
            "fax_number": "772-546-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W 4TH ST STE 4",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053352",
            "telephone_number": "772-546-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STATE SPINAL REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "WAKULA",
        "authorized_official_first_name": "JENEANE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "772-546-9591",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• First State Pharmacy
• First State Pharmacy Inc (First State Pharmacy)
• First State Rehab at Home, LLC
• First State Spine and Pain Treatment Centers
• First State Youth
• First Urology, PSC
• First Wilmington Home Care LLC
• Firstlight Home Care of Hockessin

• Chiropractor in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Chiropractor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.