PERCUOCO CHIROPRACTIC AND REHABILITATION, PLLC


Address: 3200 Ingersoll Ave Ste E, Des Moines, IA 50312-3917
Phone: 5156203550

PERCUOCO CHIROPRACTIC AND REHABILITATION, PLLC (NPI# 1427685569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427685569
Entity Type Organization
Organization Name PERCUOCO CHIROPRACTIC AND REHABILITATION, PLLC
Practice Address 3200 Ingersoll Ave Ste E
Des Moines
IA 50312-3917
Mailing Address 8601 Westown Pkwy Unit 5106
West Des Moines
IA 50266-1653
Practice Telephone 5156203550
Practice Fax Number 5152596383
Mailing Telephone 5633700776
Enumeration Date 2020-03-26
Last Update Date 2020-03-26
Authorized Official Name DR. KEVIN THOMAS PERCUOCO (OWNER/OPERATOR)
Authorized Official Telephone 5156203550
Authorized Official Credential DC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111NS0005X Chiropractor
Specialization: Sports Physician
Chiropractic Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA 1821585357 05

Office Location

Street Address 3200 INGERSOLL AVE STE E
City DES MOINES
State IA
Zip Code 50312-3917

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942837976 Devon Anderson Student in an Organized Health Care Education/Training Program Des Moines University Pa Program, 3200 Grand, Des Moines, IA 50312 2020-03-27
1578190583 Christian Ostrander Student in an Organized Health Care Education/Training Program Des Moines University-pa Program 3200 Grand Avenue, Des Moines, IA 50312 2020-03-27
1194209312 Margaret Dedecker Speech-Language Pathologist 644 24th St., Des Moines, IA 50312 2018-09-24
1942702410 Nelson-kirby Therapy & Consulting Services, LLC Marriage & Family Therapist 3900 Ingersoll Avenue Suite 108, Des Moines, IA 50312 2018-03-01
1851839864 Lawrence Scanlon Counselor 412 42nd St, Des Moines, IA 50312 2017-02-09
1104275122 Melissa Joshel Social Worker 2116 Grand Ave Ste 2, Des Moines, IA 50312 2016-06-09
1629435813 Abby Michele Miller Acupuncturist 531 40th Street, Des Moines, IA 50312 2016-01-20
1326410689 Dawn Theresa Corriere Advanced Practice Midwife 3714 Ingersoll Ave, Des Moines, IA 50312 2015-10-27
1336558154 Paul Johnston Counselor 600 42nd Street, Des Moines, IA 50312 2014-08-06
1083847214 Mark David Ravreby Internal Medicine 3663 Grand Ave, #204, Des Moines, IA 50312 2009-09-04
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Taxonomy Information

Taxonomy Code 111NS0005X
Grouping Chiropractic Providers
Classification Chiropractor
Specialization Sports Physician

Taxonomy Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497752190 Kevin Michael Hansen Chiropractor 3316 Indianola Ave, Des Moines, IA 50315-2961 2005-07-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497131007 Engineered Per4mance, Inc. Chiropractor 1711 Sw Plaza Pkwy, Ankeny, IA 50023 2015-08-05
1982089025 Gerard Chiropractic Chiropractor 112 West Davenport St Unit 1, Eldridge, IA 52748 2015-07-29
1942621453 Oleson Chiropractic, Inc Chiropractor 514 1st Ave, Armstrong, IA 50514-7700 2013-12-31
1508100579 Forest City Chiropractic & Sports Clinic,p.c. Chiropractor 245 N Clark St, Forest City, IA 50436-1511 2012-11-15
1194973859 King Chiropractic LLC Chiropractor 1749 E 54th St, Davenport, IA 52807-2769 2008-09-05
1861614596 Terri Lyn Cooper Chiropractor 1500 Center St Ne, Cedar Rapids, IA 52402-5500 2007-05-03
1396861266 Todd M Goodwin Chiropractor 30 W. 2nd Str., Kingsley, IA 51028 2007-03-22
1518010768 Susan R. Duncan Chiropractor 301 E Mayne St, Blue Grass, IA 52726-9794 2007-01-19
1578622759 Murphy Chiropractic PC Chiropractor 224 S. Main St., Odebolt, IA 51458 2006-12-06
1265515076 Steven Robert Tenold Chiropractor 406 River Ave. N., Belmond, IA 50421 2006-10-23
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Competitor

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City DES MOINES
Zip Code 50312

Improve Information

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Dataset Information

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.

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