NPIMap

Organization Active NPI

A. Clay Roby DC LLC

  • Rehabilitation Clinic/Center
  • Swansea, IL
National Provider Identifier
1770880031
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
038.011690 Issued in IL
Legal business name
A. CLAY ROBY DC LLC
Practice address
4460 N Illinois St
Suite 5
Swansea, IL 62226-1899
Phone
(618) 234-2761
Fax
(618) 257-3291
NPI assigned
Feb 23, 2011
Last updated
Feb 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Authorized official

Name
Dr. Aaron Clay Roby, D.C.NPI 1811205602
Title
Chiropractor
Phone
(618) 234-2761

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 038.011690 IL Primary

Addresses

Primary practice location

4460 N Illinois St
Suite 5
Swansea, IL 62226-1899

Mailing address

4460 N Illinois St
Suite 5
Swansea, IL 62226-1899
Phone (618) 234-2761

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1770880031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 N ILLINOIS ST",
            "address_2": "SUITE 5",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261899",
            "telephone_number": "618-234-2761",
            "fax_number": "618-257-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 N ILLINOIS ST",
            "address_2": "SUITE 5",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261899",
            "telephone_number": "618-234-2761",
            "fax_number": "618-257-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. CLAY ROBY DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "ROBY",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "CLAY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "618-234-2761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "IL",
            "license": "038.011690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; 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.