Active NPI
Casey Chiropractic LLC
- Chiropractor
- Media, PA
National Provider Identifier
1003550948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- CASEY CHIROPRACTIC LLC
- Practice address
- 5160 Pennell Rd
Media, PA 19063-6501 - Phone
- (412) 908-0471
- NPI assigned
- Apr 26, 2022
- Last updated
- Apr 26, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Casey Fouse, DC
- Title
- Owner
- Phone
- (412) 908-0471
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
5160 Pennell Rd
Media, PA 19063-6501
Mailing address
5160 Pennell Rd
Media, PA 19063-6501
Phone (412) 908-0471
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5160 Pennell Rd
Media, PA 19063
Phone (412) 908-0471
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650931200000",
"number": "1003550948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5160 PENNELL RD",
"city": "MEDIA",
"state": "PA",
"postal_code": "190636501",
"telephone_number": "412-908-0471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5160 PENNELL RD",
"city": "MEDIA",
"state": "PA",
"postal_code": "190636501",
"telephone_number": "412-908-0471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASEY CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-26",
"last_updated": "2022-04-26",
"certification_date": "2022-04-26",
"status": "A",
"authorized_official_last_name": "FOUSE",
"authorized_official_first_name": "CASEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "412-908-0471",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.