CORE ACTIVATED REHAB 2 LLC (NPI# 1104191709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104191709 |
| Entity Type | Organization |
| Organization Name | CORE ACTIVATED REHAB 2 LLC |
| Practice Address |
1800 East Highway 114 Suite 101 Southlake TX 76090 |
| Practice Telephone | 9851731173 |
| Mailing Telephone | 9851731173 |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |
| Authorized Official Name | DR. JASON MARENO (PARTNER) |
| Authorized Official Telephone | 9851731173 |
| Authorized Official Credential | D.C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 11687 | TX | Chiropractic Providers |
| Street Address |
1800 EAST HIGHWAY 114 SUITE 101 |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013928 | Dana Lewin Counseling, Pllc | Marriage & Family Therapist | 420 N Carroll Ave Ste 140, Southlake, TX 76092-6454 | 2020-11-05 |
| 1881295046 | Triumphant Healthcare Solutions LLC | Supports Brokerage | 590 N Kimball Ave Ste 100, Southlake, TX 76092-6878 | 2020-11-04 |
| 1821696386 | Blue Ocean Health Services LLC | Clinic/Center | 105 Clariden Ranch Rd, Southlake, TX 76092-1947 | 2020-10-15 |
| 1407453749 | Southlake Hb Aba Services LLC | Behavioral Analyst | 940 S Kimball Ave Ste 175, Southlake, TX 76092-9024 | 2020-10-08 |
| 1831706175 | Monkey Ears, LLC | Audiologist | 1140 N Kimball Ave, Southlake, TX 76092-5569 | 2020-09-30 |
| 1336754753 | Texas Health Behavioral Health Hospital Corinth | Clinic/Center | 125 Davis Blvd, Southlake, TX 76092-8209 | 2020-09-11 |
| 1104431907 | Texas Lung Care Associates Pllc | Internal Medicine | 115 Wendover Ct, Southlake, TX 76092-8589 | 2020-09-09 |
| 1497369458 | Seek Health LLC | Durable Medical Equipment & Medical Supplies | 211 E Southlake Blvd Ste 106, Southlake, TX 76092-6274 | 2020-09-06 |
| 1922617422 | Tina Haitz | Registered Nurse | 1203 Powder River Trl, Southlake, TX 76092-3232 | 2020-07-30 |
| 1487272878 | Molly Schlamp | Student in an Organized Health Care Education/Training Program | 200 Stockton Dr, Southlake, TX 76092-2224 | 2020-07-11 |
| Find all providers in SOUTHLAKE | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750842373 | Mary Beth Annas | Chiropractor | 590 N Kimball Ave Ste 140, Southlake, TX 76092-6888 | 2019-03-27 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1558852590 | Thomas Kramer | Chiropractor | 502 N Carroll Ave Ste 130, Southlake, TX 76092-6449 | 2018-05-25 |
| 1942797766 | Erb Family Wellness Southlake LLC | Chiropractor | 1845 E Southlake Blvd # 140, Southlake, TX 76092 | 2018-04-17 |
| 1689173320 | Richard David Thwaites | Chiropractor | 950 E State Highway 114 Ste 160-108, Southlake, TX 76092-5240 | 2018-02-08 |
| 1326554056 | Nichole Porteus | Chiropractor | 771 E Southlake Blvd Ste 103, Southlake, TX 76092-6354 | 2017-12-18 |
| 1659734994 | Vb Creations, LLC | Chiropractor | 2225 W. Southlake Blvd, Suite#441, Southlake, TX 76092 | 2016-04-04 |
| 1134501802 | Lj3 Holdings, LLC | Chiropractor | 1800 East State Highway 114, Suite 101, Southlake, TX 76092-6529 | 2015-06-18 |
| 1104165323 | Gary Cagan Randall | Chiropractor | 100 W Southlake Blvd Ste 410, Southlake, TX 76092-6166 | 2013-02-07 |
| 1255600912 | Chiro One Wellness Center of South Lake Pllc | Chiropractor | 280 Commerce St, Ste F, Southlake, TX 76092-9100 | 2011-12-23 |
| Find all providers in SOUTHLAKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.