Organization Active NPI

Physical Medicine Associates, SC

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1982872792
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PHYSICAL MEDICINE ASSOCIATES, SC
Practice address
5803 W Craig Rd
Suite 104
Las Vegas, NV 89130-2536
Phone
(630) 428-4300
Fax
(630) 428-4305
NPI assigned
Feb 14, 2008
Last updated
Feb 14, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
PHYSICAL MEDICINE ASSOCIATES, SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Taryn N Hall
Title
Office Manager
Phone
(630) 428-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

5803 W Craig Rd
Suite 104
Las Vegas, NV 89130-2536

Mailing address

24W500 Maple Ave
Suite 105
Naperville, IL 60540-6055
Phone (630) 428-4300

National Provider Directory

National Provider Directory
Part of
Physical Medicine Associates SC

Locations

24W500 Maple Ave
Ste 105
Naperville, IL 60540
Phone (630) 428-4300

5803 W Craig Rd
Ste 104
Las Vegas, NV 89130
Phone (630) 428-4300

Practitioners & affiliated clinicians

Practitioners 2

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": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1982872792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24W500 MAPLE AVE",
            "address_2": "SUITE 105",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406055",
            "telephone_number": "630-428-4300",
            "fax_number": "630-428-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 W CRAIG RD",
            "address_2": "SUITE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302536",
            "telephone_number": "630-428-4300",
            "fax_number": "630-428-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE ASSOCIATES, SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSICAL MEDICINE ASSOCIATES, SC",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "TARYN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "630-428-4300"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.