TILLEY CHIROPRACTIC AND SPORTS INJURY CLINIC (NPI# 1871763763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871763763 |
| Entity Type | Organization |
| Organization Name | TILLEY CHIROPRACTIC AND SPORTS INJURY CLINIC |
| Other Organization Name | TILLEY SPINAL AND WELLNESS CENTER |
| Practice Address |
825 Davis St Suite B Blacksburg VA 24060-7013 |
| Practice Telephone | 5409511183 |
| Practice Fax Number | 5409511138 |
| Mailing Telephone | 5409511183 |
| Mailing Fax Number | 5409511138 |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2011-06-01 |
| Authorized Official Name | DR. GREGORY K. TILLEY (OWNER) |
| Authorized Official Telephone | 5409511183 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0104001844 | VA | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Tilley Spinal and Wellness Center | Doing Business As Name - Organization |
| Street Address |
825 DAVIS ST SUITE B |
| City | BLACKSBURG |
| State | VA |
| Zip Code | 24060-7013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710983499 | Stuart Alexander Gardner | Legal Medicine | 825 Davis St, Suite A, Blacksburg, VA 24060-7009 | 2005-06-27 |
| 1083064315 | Encore Ob Gyn Center of Southwest Virginia LLC | Obstetrics & Gynecology | 825 Davis St, Suite C, Blacksburg, VA 24060-7009 | 2016-06-17 |
| 1194126045 | Matthew Gregory Yost | Physical Therapist | 825 Davis St, Suite B, Blacksburg, VA 24060-7009 | 2014-09-10 |
| 1821413311 | Physician Wellness, LLC | Anesthesiology | 825 Davis St, E, Blacksburg, VA 24060-7009 | 2014-02-20 |
| 1831438225 | Physicians Interventional Pain Center LLC | Pain Medicine | 825 Davis St, #e, Blacksburg, VA 24060-7013 | 2013-02-05 |
| 1871841775 | Kelly Lynn Wilson | Physical Therapist | 825 Davis St, Suite B, Blacksburg, VA 24060-7013 | 2012-08-27 |
| 1700102753 | Neurological Care Clinic PC | Specialist | 825 Davis St, Suite D, Blacksburg, VA 24060-7013 | 2010-04-15 |
| 1801129143 | Ana-maria Knackstedt | Physical Therapist | 825 Davis St, Ste B, Blacksburg, VA 24060-7009 | 2009-09-17 |
| 1417123118 | Bradley Michael Mccrady | Physical Medicine & Rehabilitation | 825 Davis St, Suite C, Blacksburg, VA 24060-7013 | 2008-05-02 |
| 1922141456 | Gregory K Tilley | Chiropractor | 825 Davis St, Suite B, Blacksburg, VA 24060-7013 | 2007-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144789215 | Center for Cognition, Language & Speech, LLC | Speech-Language Pathologist | 1999 South Main St., Suite 303, Blacksburg, VA 24060 | 2019-03-18 |
| 1669945465 | Hannah Jacqueline Lower | Physical Therapy Assistant | Kroontje Healthcare Center, 100 Litton Lane, Blacksburg, VA 24060 | 2019-01-04 |
| 1720568637 | Amy Butler | Nurse Practitioner | Blue Ridge Cancer Center, 2955 Research Drive, Blacksburg, VA 24060 | 2018-08-20 |
| 1134615321 | Benjamin Toliver Matthews | Dentist | 1400 S. Main St, Ste 1, Blacksburg, VA 24060 | 2018-07-10 |
| 1881107100 | New River Periodontics and Dental Implant Center, PC | Dentist | 2612 Sheffield Drive, Blacksburg, VA 24060 | 2017-11-08 |
| 1316333685 | Access and Mobility | Durable Medical Equipment & Medical Supplies | 2536 Blossom Trail West, Blackburg, VA 24060 | 2015-04-13 |
| 1326485202 | Kristopher Joel Hansen | Internal Medicine | 2600 Research Center Dr Ste A, Blacksburg, VA 24060 | 2013-05-31 |
| 1891038949 | Holly P. Martin | Physician Assistant | 3706 South Main Street, Suite D, Blacksburg, VA 24060 | 2013-03-27 |
| 1174875330 | Catawba Hospital | Chronic Disease Hospital | 1801 Glade Road, Blacksburg, VA 24060 | 2012-10-11 |
| 1083964316 | Karla Sue Soukup | Marriage & Family Therapist | 510 S. Main Street, Blackburg, VA 24060 | 2012-09-13 |
| Find all providers in zip 24060 | ||||
| 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 |
|---|---|---|---|---|
| 1548688914 | Tennille Ponte | Chiropractor | 801 Triangle St, Blacksburg, VA 24060-7701 | 2014-04-02 |
| 1518113406 | James Glenn Drewry | Chiropractor | 620 N. Main St, Blacksburg, VA 24060 | 2008-08-12 |
| 1972792398 | Ron C Sisk | Chiropractor | 202 S Shelby St, Blacksburg, SC 29702 | 2007-10-22 |
| 1366461600 | Steve A Prupas | Chiropractor | 203 Church St Se, Blacksburg, VA 24060-4803 | 2006-07-18 |
| 1952347320 | Philip Edward Brafford Jr. | Chiropractor | 1742 W Cherokee Street, Blacksburg, SC 29702 | 2006-06-22 |
| 1245298439 | Kenneth Todd Hicks | Chiropractor | 1999 S Main St, Suite 305-a, Blacksburg, VA 24060-6634 | 2006-05-04 |
| 1629391230 | Sisk Chiropractic Clinic | Chiropractor | 202 S Shelby St, Blacksburg, SC 29702-1542 | 2010-03-10 |
| 1952632846 | Jonathan D Sisk | Chiropractor | 202 S Shelby St, Blacksburg, SC 29702-1542 | 2010-01-17 |
| 1942477328 | South Main Chiropractic Clinic Inc | Chiropractor | 401 S Main St, Suite 401, Blacksburg, VA 24060-4898 | 2008-05-14 |
| 1922271741 | Christopher A Belluzzo | Chiropractor | 401 S Main St, Suite 401, Blacksburg, VA 24060-4898 | 2008-04-13 |
| Find all providers in BLACKSBURG | ||||
| City | BLACKSBURG |
| Zip Code | 24060 |
Please comment or provide details below to improve the information on TILLEY CHIROPRACTIC AND SPORTS INJURY CLINIC.
| 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.