CORE ACTIVATED REHAB 2 LLC
NPI 1104191709
Chiropractor in Southlake, TX

Q: What is Core Activated Rehab 2 LLC's NPI number?

The NPI number for Core Activated Rehab 2 LLC is 1104191709. It was assigned to this organization in the NPPES registry on March 14, 2012.

Q: What is Core Activated Rehab 2 LLC's specialty?

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

Active since March 14, 2012

1800 EAST HIGHWAY 114, SUITE 101, SOUTHLAKE, TX 76090(985) 173-1173 Get Directions Write a Review

NPPES record last updated: March 14, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Core Activated Rehab 2 Llc NPPES

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

CORE ACTIVATED REHAB 2 LLC (NPI 1104191709) is a healthcare organization registered as a chiropractor in Southlake, Texas and active in the NPI registry since March 2012. The organization lists Jason Mareno, Partner, as its authorized official.

NPPES Registry Identity

NPI1104191709

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameCORE ACTIVATED REHAB 2 LLC

Location Address1800 EAST HIGHWAY 114, SUITE 101Southlake, TX 76090

Mailing Address1800 East Highway 114, Suite 101Southlake, TX 76090 · (985) 173-1173

Phone(985) 173-1173

Organization SubpartNo

Authorized OfficialJason MarenoPartner · (985) 173-1173

Enumeration DateMarch 14, 2012

✔ NPI 1104191709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in TX · 11687

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.

1800 EAST HIGHWAY 114, Southlake, TX 76090

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Core Activated Rehab 2 LLC's NPI number?

The NPI number for Core Activated Rehab 2 LLC is 1104191709. It was assigned to this organization in the NPPES registry on March 14, 2012.

Where is Core Activated Rehab 2 LLC located?

Core Activated Rehab 2 LLC is located at 1800 East Highway 114 Suite 101, Southlake, TX 76090. The listed phone number is (985) 173-1173.

What is Core Activated Rehab 2 LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Core Activated Rehab 2 LLC was last updated on March 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.