Advanced Chiropractic & Sports Rehabilitation

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ADVANCED CHIROPRACTIC & SPORTS REHABILITATION

Doing business as

Advanced Chiropractic & Sports Rehabilitation

Practice address

22611 Markey CT Ste 105
Sterling, VA 20166-6925

Phone

(631) 875-3993

NPI assigned

Oct 12, 2020

Last updated

Oct 12, 2020By 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

Dr. James Kennedy, DC

Title

Co-Owner/Doctor

Phone

(631) 875-3993

Specialties & licenses 1

Addresses

Other names 1

• Advanced Chiropractic & Sports Rehabilitation Doing business as

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1801494950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23548 BELVOIR WOODS TER",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201487493",
            "telephone_number": "631-875-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22611 MARKEY CT STE 105",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666925",
            "telephone_number": "631-875-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC & SPORTS REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CO-OWNER/DOCTOR",
        "authorized_official_telephone_number": "631-875-3993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Chiropractic & Sports Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Sterling, VA
• Providers in Sterling, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.