OrganizationActive
Core Activated Rehab 2 LLC
NPI 1104191709 · Chiropractor · Southlake, TX
Core Activated Rehab 2 LLC is a Chiropractor organization in Southlake, TX (NPI 1104191709).
Provider details
- NPI number
- 1104191709
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Jason Mareno, Partner(985) 173-1173
- License
- 11687 (TX)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1800 East Highway 114
Suite 101
Southlake, TX 76090
Phone: (985) 173-1173
Street-level locationGet directions
Mailing address
1800 East Highway 114
Southlake, TX 76090
Registry dates
- Enumerated
- 2012-03-14
- Last updated
- 2012-03-14
Frequently asked questions
- What is Core Activated Rehab 2 LLC's NPI number?
- Core Activated Rehab 2 LLC's National Provider Identifier (NPI) is 1104191709, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Core Activated Rehab 2 LLC?
- Core Activated Rehab 2 LLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Core Activated Rehab 2 LLC located?
- Core Activated Rehab 2 LLC's practice location on file with NPPES is 1800 East Highway 114, Southlake, TX 76090.
- What is Core Activated Rehab 2 LLC's phone number?
- The practice phone number listed in the NPPES registry for Core Activated Rehab 2 LLC is (985) 173-1173.
- Who is the authorized official for Core Activated Rehab 2 LLC?
- The authorized official listed on Core Activated Rehab 2 LLC's NPPES record is Jason Mareno, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Core Activated Rehab 2 LLC's NPI active?
- Yes — Core Activated Rehab 2 LLC's NPI (1104191709) is active in the NPPES registry as of the last update on 2012-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.