Rsi Physical Medicine and Performance Care, Inc.

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

CH8750 Issued in FL

Legal business name

RSI PHYSICAL MEDICINE AND PERFORMANCE CARE, INC.

Practice address

10475 Centurion Pkwy N Ste 304
Jacksonville, FL 32256-5004

Phone

(904) 270-2673

Fax

(904) 212-0024

NPI assigned

Jan 9, 2018

Last updated

Jan 9, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen F. Fierro, DCNPI 1366496135

Title

Owner

Phone

(904) 270-2673

Specialties & licenses 1

Addresses

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.

• Stephen F. Fierro, DC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1366496135
  NPD Authorized official

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515456000000",
    "number": "1932616281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10475 CENTURION PKWY N STE 304",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322565004",
            "telephone_number": "904-270-2673",
            "fax_number": "904-212-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 CENTURION PKWY N STE 304",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322565004",
            "telephone_number": "904-270-2673",
            "fax_number": "904-212-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSI PHYSICAL MEDICINE AND PERFORMANCE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A",
        "authorized_official_last_name": "FIERRO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-270-2673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "FL",
            "license": "CH8750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Chiropractor in Jacksonville, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.

Verify at the official NPI Registry.