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PENINSULA PAIN AND REHABILITATION CENTER, INC.
NPI 1053427740
Chiropractor in Newport News, VA

Active since August 22, 2006
11015 WARWICK BLVD, NEWPORT NEWS, VA 23601(757) 591-7291(757) 591-2125 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 2, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Peninsula Pain And Rehabilitation Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENINSULA PAIN AND REHABILITATION CENTER, INC. (NPI 1053427740) is a healthcare organization registered as a chiropractor in Newport News, Virginia and active in the NPI registry since August 2006. The organization lists Michael S Cook, Owner, as its authorized official.

NPPES Registry Identity

NPI1053427740
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePENINSULA PAIN AND REHABILITATION CENTER, INC.
Location Address11015 WARWICK BLVDNewport News, VA 23601-3225
Mailing Address11015 Warwick BlvdNewport News, VA 23601-3225 · (757) 591-7291 · Fax (757) 591-2125
Phone(757) 591-7291
Fax(757) 591-2125
Organization SubpartNo
Authorized OfficialMichael S CookOwner · (757) 591-7291
Enumeration DateAugust 22, 2006
Last NPPES UpdateJuly 2, 20242 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
✔ NPI 1053427740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in VA · 0104001063
Definition
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.
Also ListedSpecialistTaxonomy 174400000X · License VA0101022154 (VA)
11015 WARWICK BLVD, Newport News, VA 23601
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peninsula Pain And Rehabilitation Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Peninsula Pain And Rehabilitation Center, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Cook, DC
Chiropractic
NPI 1578585790
11015 WARWICK BLVD
Newport News, VA 23601
(757) 591-7291
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peninsula Pain And Rehabilitation Center, Inc.'s NPI number?

The NPI number for Peninsula Pain And Rehabilitation Center, Inc. is 1053427740. It was assigned to this organization in the NPPES registry on August 22, 2006.

Where is Peninsula Pain And Rehabilitation Center, Inc. located?

Peninsula Pain And Rehabilitation Center, Inc. is located at 11015 Warwick Blvd, Newport News, VA 23601. The listed phone number is (757) 591-7291.

What is Peninsula Pain And Rehabilitation Center, Inc.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Peninsula Pain And Rehabilitation Center, Inc. enrolled in Medicare?

Yes. Peninsula Pain And Rehabilitation Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peninsula Pain And Rehabilitation Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Peninsula Pain And Rehabilitation Center, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Peninsula Pain And Rehabilitation Center, Inc. was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.