HEALTHSOURCE OF HIGHLAND PARK
NPI 1114160827
Chiropractor - Rehabilitation in Dallas, TX
About Healthsource Of Highland Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEALTHSOURCE OF HIGHLAND PARK (NPI 1114160827) is a healthcare organization registered as a rehabilitation in Dallas, Texas and active in the NPI registry since April 2009. The organization lists R Todd Petersen, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Healthsource Of Highland Park 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 Healthsource Of Highland Park, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Park Cities Chirosport Inc's NPI number?
The NPI number for Park Cities Chirosport Inc is 1114160827. It was assigned to this organization in the NPPES registry on April 10, 2009. The provider is doing business as Healthsource Of Highland Park.
Where is Park Cities Chirosport Inc located?
Park Cities Chirosport Inc is located at 3408 Milton Ave, Dallas, TX 75205. The listed phone number is (214) 739-2225.
What is Park Cities Chirosport Inc's specialty?
The primary specialty registered for this NPI is Chiropractor, specializing in Rehabilitation, with taxonomy code 111NR0400X.
Is Park Cities Chirosport Inc enrolled in Medicare?
Yes. Park Cities Chirosport Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Park Cities Chirosport Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Park Cities Chirosport 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 Park Cities Chirosport Inc was last updated on October 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.