Rebelution Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

REBELUTION CHIROPRACTIC LLC

Practice address

4800 Whitesburg Dr SW # 30-192
Huntsville, AL 35802-1698

Phone

(408) 805-0570

NPI assigned

Jan 13, 2021

Organization subpart

No

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

Authorized official

Name

Mollie A Rood, DCNPI 1003405168

Title

Owner

Phone

(408) 805-0570

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 4

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

• Mollie Rood, DC

  • Chiropractor
  • Huntsville, AL
  • NPI 1003405168
  Medicare reassignment Authorized official
• Jacob Stewart Glen, DC

  • Chiropractor
  • Huntsville, AL
  • NPI 1386466431
  Medicare reassignment NPD
• Joshua Rood, DC

  • Chiropractor
  • Huntsville, AL
  • NPI 1003405176
  Medicare reassignment NPD
• Alexa M. Smith, DC

  • Chiropractor
  • Huntsville, AL
  • NPI 1699438283
  Medicare reassignment NPD

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1902495070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 WHITESBURG DR SW # 30-192",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021698",
            "telephone_number": "408-805-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 WHITESBURG DR SW # 30-192",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021698",
            "telephone_number": "408-805-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBELUTION CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "ROOD",
        "authorized_official_first_name": "MOLLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-805-0570",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.