Active NPI
Vivian O Ezuruike
- Rehabilitation Chiropractor
- Austin, TX
National Provider Identifier
1992962989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- F008176
- Practice address
- 111 W Anderson LN
Suite D211
Austin, TX 78752-1132 - Phone
- (512) 374-9900
- Fax
- (512) 374-0099
- NPI assigned
- May 19, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | F008176 | TX | Primary |
Addresses
Primary practice location
111 W Anderson LN
Suite D211
Austin, TX 78752-1132
Mailing address
111 W Anderson LN
Suite D211
Austin, TX 78752-1132
Phone (512) 374-9900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F008176 | TX | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Logistics Medical Equipment & Supplies, Inc | Past | Accepting new patients | |
| Regent Rehabilitation Clinic, Inc | Rehabilitation | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Austin, TX
- NPI 1306003397
-
- Rehabilitation Chiropractor
- Austin, TX
- NPI 1033376033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1992962989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W ANDERSON LN",
"address_2": "SUITE D211",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787521132",
"telephone_number": "512-374-9900",
"fax_number": "512-374-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W ANDERSON LN",
"address_2": "SUITE D211",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787521132",
"telephone_number": "512-374-9900",
"fax_number": "512-374-0099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZURUIKE",
"first_name": "VIVIAN",
"middle_name": "O",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-19",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "F008176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.