Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Peninsula Pain and Rehabilitation Center, Inc

Organization Chiropractor · NPI 1053427740

Peninsula Pain and Rehabilitation Center, Inc provides Chiropractor services in Newport News, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11015 Warwick Blvd
Newport News, VA 23601-3225
Phone: (757) 591-7291
Fax: (757) 591-2125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 0104001063 (VA)
Specialist Taxonomy 174400000X · Licence VA0101022154 (VA)

Record details

NPI number1053427740
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Cook — Owner · (757) 591-7291
NPI enumeratedAugust 22, 2006
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024
Mailing address11015 Warwick Blvd, Newport News, VA 23601-3225

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