Active NPI
Spinal Rehab Clinics, PA
- Rehabilitation Chiropractor
- Sauk Rapids, MN
National Provider Identifier
1932237187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- Legal business name
- SPINAL REHAB CLINICS, PA
- Practice address
- 225 N Benton Dr Ste 105
Sauk Rapids, MN 56379-1574 - Phone
- (320) 252-2225
- Fax
- (320) 252-2159
- NPI assigned
- Mar 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel T Carlson, DC
- Title
- Ceo
- Phone
- (320) 252-2225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | Primary |
Addresses
Primary practice location
225 N Benton Dr Ste 105
Sauk Rapids, MN 56379-1574
Mailing address
225 N Benton Dr Ste 105
Sauk Rapids, MN 56379-1574
Phone (320) 252-2225
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CS4516 | Other | MN | RAILROAD MEDICARE |
| 799325100 | Medicaid | MN | |
| 55040MC | Other | MN | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1932237187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 N BENTON DR STE 105",
"city": "SAUK RAPIDS",
"state": "MN",
"postal_code": "563791574",
"telephone_number": "320-252-2225",
"fax_number": "320-252-2159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 N BENTON DR STE 105",
"city": "SAUK RAPIDS",
"state": "MN",
"postal_code": "563791574",
"telephone_number": "320-252-2225",
"fax_number": "320-252-2159"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINAL REHAB CLINICS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-01",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "CARLSON",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "320-252-2225",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CS4516",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "799325100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "55040MC",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sauk Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.