Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Peninsula Pain and Rehabilitation Center, Inc

Organization Chiropractor · NPI 1053427740

Peninsula Pain and Rehabilitation Center, Inc is a Chiropractor 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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