Organization Active NPI

Chiro-Plus Rehabilitation Clinic Inc

  • Chiropractor
  • Rosenberg, TX
National Provider Identifier
1942487657
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6669 Issued in TX
Legal business name
CHIRO-PLUS REHABILITATION CLINIC INC
Practice address
5101 Ave H
Ste 25
Rosenberg, TX 77471
Phone
(281) 342-4155
Fax
(281) 342-5132
NPI assigned
Jan 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Authorized official

Name
Dr. John Raphael Fazzio, DCNPI 1184717340
Title
Owner
Phone
(281) 342-4155

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6669 TX Primary

Addresses

Primary practice location

5101 Ave H
Ste 25
Rosenberg, TX 77471

Mailing address

5101 Ave H
Ste 25
Rosenberg, TX 77471
Phone (281) 342-4155

Other identifiers 1

IdentifierTypeStateIssuer
00Z889OtherTXMEDICARE PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081112000289 TX Part B Supplier - Clinic/Group Practice 2860551363 Receives reassigned benefits from 1 practitioner
Practice locations: Sealy, TX

National Provider Directory

National Provider Directory

Locations

5101 Avenue H
Ste 25
Rosenberg, TX 77471
Phone (281) 342-4155

Practitioners & affiliated clinicians

Practitioners 2

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": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1942487657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 AVE H",
            "address_2": "STE 25",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "77471",
            "telephone_number": "281-342-4155",
            "fax_number": "281-342-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 AVE H",
            "address_2": "STE 25",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "77471",
            "telephone_number": "281-342-4155",
            "fax_number": "281-342-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO-PLUS REHABILITATION CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "FAZZIO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RAPHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-342-4155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "00Z889",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosenberg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.