Crafted Wellness & Sports Rehab

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CRAFTED WELLNESS & SPORTS REHAB

Practice address

880 Seven Hills Dr Ste 210
Henderson, NV 89052-4380

Phone

(725) 219-0676

Fax

(725) 219-0641

NPI assigned

Oct 7, 2021

Last updated

Oct 7, 2021By 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

Daniel Freeman, DCNPI 1285100644

Title

Owner

Phone

(702) 467-8202

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 3

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.

• Daniel Freeman, DC

  • Chiropractor
  • Falls Church, VA
  • NPI 1285100644

  NV

  Medicare reassignment NPD Authorized official
• Kyle Buth

  • Chiropractor
  • Henderson, NV
  • NPI 1730604760
  Medicare reassignment NPD
• Isaiah Thomas Chadwick, LMT

  • Massage Therapist
  • Henderson, NV
  • NPI 1770306110

  Single Specialty

  NPD

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1841952884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 SEVEN HILLS DR STE 210",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524380",
            "telephone_number": "725-219-0676",
            "fax_number": "725-219-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 SEVEN HILLS DR STE 210",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524380",
            "telephone_number": "725-219-0676",
            "fax_number": "725-219-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAFTED WELLNESS & SPORTS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-467-8202",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikita Cox
• Takema Cox, DO
• Takisha Cox
• Karen Naguiat Cozelos, NP-C
• Chris Cozine, DDS
• Craig D. Clark, M.D., Professional Corp.
• Debra Craig
• Madonna Craig
• Jessica Crandon
• Sara Crane

• Chiropractor in Henderson, NV
• Providers in Henderson, NV by specialty
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.