WAGENBLAST CHIROPRACTIC PLLC NPI 1235418666

NPI Information

  • NPI: 1235418666
  • Provider Name: WAGENBLAST CHIROPRACTIC, PLLC
  • Classification: Chiropractor - 111NS0005X
  • Specialization: Sports Physician
  • Entity Type: Organization
  • Doing Business As: ACTIVE SPORTS THERAPY AND REHABILITATION
  • Address: 102 E MAIN ST
    SUITE A
    ROUND ROCK, TX
    ZIP 78664
  • Phone: (512) 284-9278

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NPI Details

WAGENBLAST CHIROPRACTIC, PLLC is a sports physician chiropractor in Round Rock, TX. The provider is 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. WAGENBLAST CHIROPRACTIC, PLLC NPI is 1235418666. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Active Sports Therapy And Rehabilitation.

The provider's business location address is:

102 E MAIN ST
SUITE A
ROUND ROCK, TX
ZIP 78664-200
Phone: (512) 284-9278
Fax: (512) 284-9283

The provider's authorized official is Seth Andrew Wagenblast .
The authorized official title is Owner and has the following contact phone number (512) 507-6681.

The enumeration date for this NPI number is 8/16/2011 and was last updated on 8/16/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor9995TEXASNo
2111NR0400XChiropractorRehabilitation9995TEXASNo
3111NS0005XChiropractorSports Physician9995TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18F21910MEDICARE UPINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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