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ACTIVE SPORTS THERAPY AND REHABILITATION
NPI 1235418666
Chiropractor - Sports Physician in Round Rock, TX

Active since August 16, 2011
102 E MAIN ST, SUITE A, ROUND ROCK, TX 78664(512) 284-9278(512) 284-9283 Get Directions Write a Review

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

About Active Sports Therapy And Rehabilitation NPPES

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

ACTIVE SPORTS THERAPY AND REHABILITATION (NPI 1235418666) is a healthcare organization registered as a sports physician in Round Rock, Texas and active in the NPI registry since August 2011. The organization lists Seth Andrew Wagenblast, Owner, as its authorized official.

NPPES Registry Identity

NPI1235418666
Entity TypeOrganization
Primary Taxonomy111NS0005X
Legal Business NameWAGENBLAST CHIROPRACTIC, PLLC
Location Address102 E MAIN ST, SUITE ARound Rock, TX 78664-5200
Mailing Address1111 Remington DrLeander, TX 78641-7799 · (512) 507-6681 · Fax (512) 284-9283
Phone(512) 284-9278
Fax(512) 284-9283
Organization SubpartNo
Authorized OfficialSeth Andrew WagenblastOwner · (512) 507-6681
Enumeration DateAugust 16, 2011
✔ NPI 1235418666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in TX · 9995
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.
Also ListedChiropractorTaxonomy 111N00000X · License 9995 (TX)
Also ListedChiropractor · RehabilitationTaxonomy 111NR0400X · License 9995 (TX)
102 E MAIN ST, Round Rock, TX 78664
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Other Names 1

Doing Business AsActive Sports Therapy And Rehabilitation

Other Identifiers 1

Medicare UPIN8F21910TX

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

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.

DR. DANIEL THOMAS CALLICOAT DC
Chiropractor (Sports Physician)
102 E MAIN ST
ROUND ROCK, TX 78664
Williamson County (512) 284-9278
DR. SETH ANDREW WAGENBLAST D.C.
Chiropractor
102 E MAIN ST, SUITE A
ROUND ROCK, TX 78664
Williamson County (512) 284-9278

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 Wagenblast Chiropractic, PLLC's NPI number?

The NPI number for Wagenblast Chiropractic, PLLC is 1235418666. It was assigned to this organization in the NPPES registry on August 16, 2011. The provider is doing business as Active Sports Therapy And Rehabilitation.

Where is Wagenblast Chiropractic, PLLC located?

Wagenblast Chiropractic, PLLC is located at 102 E Main St Suite A, Round Rock, TX 78664. The listed phone number is (512) 284-9278.

What is Wagenblast Chiropractic, PLLC'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 Wagenblast Chiropractic, PLLC was last updated on August 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.