AXIS CHIROPRACTIC AND SPORTS REHABILITATION CLINIC LLC (NPI# 1710367875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710367875 |
| Entity Type | Organization |
| Organization Name | AXIS CHIROPRACTIC AND SPORTS REHABILITATION CLINIC LLC |
| Other Organization Name | AXIS CHIROPRACTIC & SPORTS REHAB |
| Practice Address |
3215 E Milton Ave Suites 7-8 Youngsville LA 70592-5546 |
| Practice Telephone | 3375739009 |
| Practice Fax Number | 8554524557 |
| Mailing Telephone | 3375739009 |
| Mailing Fax Number | 8554524557 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-10-28 |
| Authorized Official Name | DR. WAYNE H JOHNSON (OWNER) |
| Authorized Official Telephone | 3187731398 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1671 | LA | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Axis Chiropractic & Sports Rehab | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427429075 | Axis Chiropractic and Sports Rehabilitation Clinic LLC | Durable Medical Equipment & Medical Supplies | 3215 E Milton Ave, Suites 7 & 8, Youngsville, LA 70592-5546 | 2015-10-08 |
| Street Address |
3215 E MILTON AVE SUITES 7-8 |
| City | YOUNGSVILLE |
| State | LA |
| Zip Code | 70592-5546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538359419 | Stephen W. Darbonne, LLC | Internal Medicine | 3215 E Milton Ave, Suite 1, Youngsville, LA 70592-5546 | 2007-07-27 |
| 1427429075 | Axis Chiropractic and Sports Rehabilitation Clinic LLC | Durable Medical Equipment & Medical Supplies | 3215 E Milton Ave, Suites 7 & 8, Youngsville, LA 70592-5546 | 2015-10-08 |
| 1043573942 | Youngsville Family Healthcare | Clinic/Center | 3215 E Milton Ave, Suite 8, Youngsville, LA 70592-5546 | 2012-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437796844 | Tanisha Daniele Middleton | Behavior Technician | 209 Centre Scarcelle Boulevard, 201, Youngsville, LA 70592 | 2019-12-04 |
| 1578023800 | Youngsville Eye Clinic LLC | Optometrist | 2818 Bonin Rd, Youngsville, LA 70592 | 2019-03-22 |
| 1942727763 | Katherine Broussard Juneau | Social Worker | 317 Nora Broussard Rd, Youngsville, LA 70592 | 2017-08-23 |
| 1538694773 | Luciana Girouard | Behavior Technician | 209 Centre Sarcelle Blvd Ste 201, Youngsville, LA 70592 | 2017-04-25 |
| 1922557750 | Whispering Oaks Lodge LLC | Substance Abuse Rehabilitation Facility | 617 Piat Road, Youngsville, LA 70592 | 2016-09-21 |
| 1811362528 | Lauren Stone | Physical Therapist | 100 Holstien Ln, Youngsville, LA 70592 | 2015-12-07 |
| 1356671374 | Louisiana Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2910 E. Milton Ave, Youngsville, LA 70592 | 2010-01-14 |
| 1376778464 | Anne Marie Biro | Physical Therapy Assistant | 170 Atlas Road, Youngsville, LA 70592 | 2009-05-19 |
| 1457593618 | Fallon Strother Mcmanus | Family Medicine | 103 Centre Sarcelle Blvd, Suite 506, Youngsville, LA 70592 | 2009-04-01 |
| 1346497146 | Cashway Pharmacy of Youngsville | Pharmacist | 810 S. Saint Blaise Lane, Suite A, Youngsville, LA 70592 | 2008-08-22 |
| Find all providers in zip 70592 | ||||
| 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 |
|---|---|---|---|---|
| 1962919118 | Jean Luke Smith | Chiropractor | 2761 E Milton Ave Ste B-4, Youngsville, LA 70592-6701 | 2018-01-09 |
| 1790023653 | Sherri Marie Raley | Chiropractor | 4016 Wiggins Rd, Youngsville, NC 27596-9405 | 2013-01-27 |
| 1538433941 | Youngsville Chiropractic, LLC | Chiropractor | 300 Iberia St, Youngsville, LA 70592-5738 | 2012-03-02 |
| 1790087849 | Jacob Allan Mcnair | Chiropractor | 700 Us 1 Hwy, Suite 400, Youngsville, NC 27596-7872 | 2010-11-23 |
| 1215981576 | Wendy Michelle Robbins | Chiropractor | 406 Us 1 Hwy, Suite C, Youngsville, NC 27596-7847 | 2006-05-20 |
| 1710507488 | Evan Jonathon Wagoner | Chiropractor | 355 Clubhouse Dr, Youngsville, NC 27596-6628 | 2020-04-22 |
| 1366993669 | Youngsville Chiropractic Center | Chiropractor | 700 Us 1 Hwy, Ste 400, Youngsville, NC 27596-7872 | 2016-10-21 |
| 1831356815 | Rich Vanhouten | Chiropractor | 580 E Main St, Youngsville, PA 16371-1130 | 2008-05-19 |
| 1063517571 | Robbins-willaford Chiropractic Center, Pllc | Chiropractor | 406 Us 1 Hwy, Suite C, Youngsville, NC 27596-7847 | 2006-09-13 |
| 1427002781 | Cecil Lancer Willaford | Chiropractor | 406 Us 1 Hwy, Suite C, Youngsville, NC 27596-7847 | 2006-05-20 |
| Find all providers in YOUNGSVILLE | ||||
| City | YOUNGSVILLE |
| Zip Code | 70592 |
Please comment or provide details below to improve the information on AXIS CHIROPRACTIC AND SPORTS REHABILITATION CLINIC LLC.
| 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.