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SOUTHEAST SPORTS CHIROPRACTIC, LLC
NPI 1194005157
Chiropractor - Sports Physician in Spartanburg, SC

Active since August 23, 2011
115 SOUTHPORT RD, UNIT F, SPARTANBURG, SC 29306(864) 680-3704 Get Directions Write a Review

NPPES record last updated: August 23, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southeast Sports Chiropractic, Llc NPPES

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

SOUTHEAST SPORTS CHIROPRACTIC, LLC (NPI 1194005157) is a healthcare organization registered as a sports physician in Spartanburg, South Carolina and active in the NPI registry since August 2011. The organization lists Todd E Riddle, Member, as its authorized official.

NPPES Registry Identity

NPI1194005157
Entity TypeOrganization
Primary Taxonomy111NS0005X
Legal Business NameSOUTHEAST SPORTS CHIROPRACTIC, LLC
Location Address115 SOUTHPORT RD, UNIT FSpartanburg, SC 29306-3813
Mailing Address115 Southport Rd, Unit FSpartanburg, SC 29306-3813 · (864) 680-3704
Phone(864) 680-3704
Organization SubpartNo
Authorized OfficialTodd E RiddleMember · (864) 680-3704
Enumeration DateAugust 23, 2011
✔ NPI 1194005157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in SC · 3484
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.
115 SOUTHPORT RD, Spartanburg, SC 29306
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COURTNEY TRUESDALE APRN, NP
Nurse Practitioner (Psychiatric/Mental Health)
115 SOUTHPORT RD
SPARTANBURG, SC 29306
Spartanburg County (864) 520-2020
CAROLINA HEALTH & SPINE, LLC
Chiropractor
115 SOUTHPORT RD, SUITE J
SPARTANBURG, SC 29306
Spartanburg County (864) 590-2760

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 Southeast Sports Chiropractic, LLC's NPI number?

The NPI number for Southeast Sports Chiropractic, LLC is 1194005157. It was assigned to this organization in the NPPES registry on August 23, 2011.

Where is Southeast Sports Chiropractic, LLC located?

Southeast Sports Chiropractic, LLC is located at 115 Southport Rd Unit F, Spartanburg, SC 29306. The listed phone number is (864) 680-3704.

What is Southeast Sports Chiropractic, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

When was this NPI record last updated?

The NPPES record for Southeast Sports Chiropractic, LLC was last updated on August 23, 2011. 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.