NPIMap

Organization Active NPI

Alive Rehabilitation Services LLC

Doing business as Alive Chiropractic & Rehabilitation LLC

  • Chiropractor
  • The Dalles, OR
National Provider Identifier
1871007468
Registry record updated Nov 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5863 Issued in OR
Legal business name
ALIVE REHABILITATION SERVICES LLC
Doing business as
Alive Chiropractic & Rehabilitation LLC
Practice address
102 E 2ND St Unit 3
The Dalles, OR 97058-1733
Phone
(971) 344-4208
Fax
(971) 344-4208
NPI assigned
Nov 19, 2017
Last updated
Nov 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2017

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

Authorized official

Name
Dr. Stefanie Lowe, DC, MSNPI 1306359252
Title
Owner
Phone
(971) 344-4208

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 5863 OR Primary

Addresses

Primary practice location

102 E 2ND St Unit 3
The Dalles, OR 97058-1733

Mailing address

1706 Avalon Dr Unit 20
Hood River, OR 97031-9585
Phone (971) 344-4208

Other names 1

  • Alive Chiropractic & Rehabilitation LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171229002376 OR Part B Supplier - Clinic/Group Practice 0345508016 Receives reassigned benefits from 4 practitioners
Practice locations: Portland, OR; The Dalles, OR

National Provider Directory

National Provider Directory

Locations

100 E 2nd St
The Dalles, OR 97058
Phone (541) 900-5400

102 E 2nd St
Unit 3
The Dalles, OR 97058
Phone (971) 344-4208

Practitioners & affiliated clinicians

Practitioners 8

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": "1511049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511049600000",
    "number": "1871007468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 AVALON DR UNIT 20",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970319585",
            "telephone_number": "971-344-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E 2ND ST UNIT 3",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970581733",
            "telephone_number": "971-344-4208",
            "fax_number": "971-344-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIVE REHABILITATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-19",
        "last_updated": "2017-11-19",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-344-4208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, MS"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alive Chiropractic & Rehabilitation LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in The Dalles, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2017; 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.