GOTRO CHIROPRACTIC OF INDIAN TRAIL


Address: 13803 Independence Blvd Ste E, Indian Trail, NC 28079-7680
Phone: 7048820192

GOTRO CHIROPRACTIC OF INDIAN TRAIL (NPI# 1801959580) 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) 1801959580
Entity Type Organization
Organization Name GOTRO CHIROPRACTIC OF INDIAN TRAIL
Practice Address 13803 Independence Blvd Ste E
Indian Trail
NC 28079-7680
Practice Telephone 7048820192
Practice Fax Number 7048820612
Mailing Telephone 7048820192
Mailing Fax Number 7048820612
Enumeration Date 2006-12-18
Last Update Date 2012-02-07
Authorized Official Name DR. HUGH CHARLES GOTRO JR. (PRESIDENT)
Authorized Official Telephone 7048820192
Authorized Official Credential D.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111NS0005X Chiropractor
Specialization: Sports Physician
2080 NC Chiropractic Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 890253K 05

Office Location

Street Address 13803 INDEPENDENCE BLVD STE E
City INDIAN TRAIL
State NC
Zip Code 28079-7680

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992297485 Carolina Cala Community/Behavioral Health 3817 Balsam St, Indian Trail, NC 28079 2018-05-31
1992294805 Dr Patel & Associates, Pa Clinic/Center 6046 W Highway 74, Indian Trail, NC 28079 2018-05-07
1306389085 Creative Counseling and Consulting, LLC Counselor 4389 Indian Trail-fairview Road, Indian Trail, NC 28079 2016-11-29
1922481381 Aakar Gaurang Chokshi Dentist 5850 W Highway 74 Ste 135, Indian Trail, NC 28079 2015-07-02
1881944536 Francy Johana Rodriguez Naturopath 124 Unionville Indian Trail Rd W Ste A9, Indian Trail, NC 28079 2012-09-10
1669767653 Leigh Ann Zimmerman Tasillo Psychologist 124 Unionville-indian Trail Rd., Suite B3, Indian Trail, NC 28079 2011-06-17
1679715650 Indian Trail Chiropractic & Rehabilitation, Pa Chiropractor 100 Park Road East, Indian Trail, NC 28079 2009-04-06
1003079518 Shemeeka L Mcfadden Optometrist 5850 Us-74, Unit 116, Indian Trail, NC 28079 2008-07-03
1023290046 Gary Lee Vaughn Technician/Technologist 622 Indian Trail Rd, Indian Trail, NC 28079 2007-11-30
1750574331 Susana C Junco Dentist 136 Indian Trail Rd, Indian Trail, NC 28079 2007-08-27
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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
1609971878 Mazyar Neshat Chiropractor 1001 Van Buren Ave Ste E, Indian Trail, NC 28079-5584 2006-09-13
1568529592 Mazyar Neshat, D.c., P.a. Chiropractor 1001 Van Buren Ave Ste E, Indian Trail, NC 28079-5584 2007-01-02
1912002007 Mazyar Michael Neshat, D.c., P.a. Chiropractor 616 Indian Trail Rd S, Indian Trail, NC 28079-9680 2006-09-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811360803 Ihm Sports Medicine Chiropractor 5490 S Miami Blvd Apt 207, Durham, NC 27703-8284 2015-11-12
1043626088 Swiss Alliance, Inc. Chiropractor 976 Martin Luther King Jr Blvd Ste 100, Chapel Hill, NC 27514-2654 2014-07-10
1770728032 Pierre-yves Philippe Dubois Chiropractor 976 Martin Luther King Jr Blvd Ste 101, Chapel Hill, NC 27514-2654 2008-12-15
1639350556 Charles P Hecht Dc Pa Chiropractor 1812 Martin Luther King Jr Blvd, Chapel Hill, NC 27514-7415 2007-11-20
1710170808 Eric David Bryant Chiropractor 8041 Corporate Center Drive, Suite 100, Charlotte, NC 28226-4553 2007-08-22
1629137369 Matthew Brian Horvath Chiropractor 112 N Winstead Ave, Rocky Mount, NC 27804-2235 2006-12-08
1184783367 Arnie Wynn Chiropractor 610 E 7th St, Suite 2a, Charlotte, NC 28202-2923 2006-12-06
1891862025 Bonnie Smithyman Baird Chiropractor 320 N Judd Prkwy Ne, Ste 102, Fuquay Varina, NC 27526 2006-11-30
1417026774 Thomas Raleigh Forrest Chiropractor 102 W 32nd St, Lumberton, NC 28358-2925 2006-11-08
1821168725 Timothy Patrick Clare Chiropractor 13209 Carowinds Blvd Ste G, Charlotte, NC 28273-6735 2006-11-08
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Competitor

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City INDIAN TRAIL
Zip Code 28079

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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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