NPIMap

Organization Active NPI

P3 Chiropractic and Sports Care, Inc.

  • Chiropractor
  • Huntsville, AL
National Provider Identifier
1942698279
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2277 Issued in AL
Legal business name
P3 CHIROPRACTIC AND SPORTS CARE, INC.
Practice address
2050 South Point Park Cir.
Suite 150
Huntsville, AL 35801
Phone
(256) 270-8700
Fax
(256) 270-8702
NPI assigned
Jan 9, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Walter OlsenNPI 1629218508
Title
Doctor
Phone
(256) 651-1966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1847 AL
Chiropractor 111N00000X 2277 AL Primary

Addresses

Primary practice location

2050 South Point Park Cir.
Suite 150
Huntsville, AL 35801

Mailing address

2050 South Point Park Cir.
Suite 150
Huntsville, AL 35801
Phone (256) 270-8700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200804001923 AL Part B Supplier - Clinic/Group Practice 2961720438 Receives reassigned benefits from 3 practitioners
Practice locations: Huntsville, AL

National Provider Directory

National Provider Directory

Locations

2010 S Point Park Cir
Apt 150
Huntsville, AL 35801
Phone (256) 270-8700

2050 Southpark Blvd SW
Ste 150
Huntsville, AL 35803
Phone (256) 270-8700

2614 Artie St SW
Huntsville, AL 35805
Phone (256) 270-8700

Practitioners & affiliated clinicians

Practitioners 4

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": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1942698279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 SOUTH POINT PARK CIR.",
            "address_2": "SUITE 150",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-270-8700",
            "fax_number": "256-270-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 SOUTH POINT PARK CIR.",
            "address_2": "SUITE 150",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-270-8700",
            "fax_number": "256-270-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P3 CHIROPRACTIC AND SPORTS CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "256-651-1966",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1847",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.