NPIMap

Organization Active NPI

Tilley Chiropractic and Sports Injury Clinic

Doing business as Tilley Spinal and Wellness Center

  • Chiropractor
  • Blacksburg, VA
National Provider Identifier
1871763763
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001844 Issued in VA
Legal business name
TILLEY CHIROPRACTIC AND SPORTS INJURY CLINIC
Doing business as
Tilley Spinal and Wellness Center
Practice address
825 Davis St
Suite B
Blacksburg, VA 24060-7013
Phone
(540) 951-1183
Fax
(540) 951-1138
NPI assigned
Mar 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Authorized official

Name
Dr. Gregory K. Tilley, D.C.
Title
Owner
Phone
(540) 951-1183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104001844 VA Primary

Addresses

Primary practice location

825 Davis St
Suite B
Blacksburg, VA 24060-7013

Mailing address

825 Davis St
Suite B
Blacksburg, VA 24060-7013
Phone (540) 951-1183

Other names 1

  • Tilley Spinal and Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

895 Davis St
Ste B
Blacksburg, VA 24060
Phone (540) 951-1183

920 Plantation Rd
Ste 104
Blacksburg, VA 24060
Phone (540) 552-1904

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1871763763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 DAVIS ST",
            "address_2": "SUITE B",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607013",
            "telephone_number": "540-951-1183",
            "fax_number": "540-951-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 DAVIS ST",
            "address_2": "SUITE B",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607013",
            "telephone_number": "540-951-1183",
            "fax_number": "540-951-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILLEY CHIROPRACTIC AND SPORTS INJURY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "TILLEY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-951-1183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tilley Spinal and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blacksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.