Organization Active NPI

Aa Spine & Rehab Clinic LLC

  • Chiropractor
  • West Allis, WI
National Provider Identifier
1881380095
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
AA SPINE & REHAB CLINIC LLC
Practice address
6767 W Greenfield Ave Ste 201
West Allis, WI 53214-4967
Phone
(414) 448-7022
Fax
(414) 448-7022
NPI assigned
Apr 12, 2023
Last updated
May 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Amina AhmadNPI 1306909163
Title
Owner
Phone
(773) 875-4136

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 Primary

Addresses

Primary practice location

6767 W Greenfield Ave Ste 201
West Allis, WI 53214-4967

Mailing address

6767 W Greenfield Ave Ste 201
West Allis, WI 53214-4967
Phone (414) 448-7022

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230705002427 WI Part B Supplier - Clinic/Group Practice 7517326820 Receives reassigned benefits from 1 practitioner
Practice locations: West Allis, WI

National Provider Directory

National Provider Directory

Locations

6767 W Greenfield Ave
Ste 201
West Allis, WI 53214
Phone (414) 448-7022

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": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1881380095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 W GREENFIELD AVE STE 201",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532144967",
            "telephone_number": "414-448-7022",
            "fax_number": "414-448-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 W GREENFIELD AVE STE 201",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532144967",
            "telephone_number": "414-448-7022",
            "fax_number": "414-448-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AA SPINE & REHAB CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "AMINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-875-4136"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.