Viola A Agostino Valletta, D.C.
Individual provider Active NPI Chiropractor · New Kensington, PA
NPI 1003801531 · NPPES record last updated Mar 22, 2012
Key facts
- NPI
- 1003801531
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC004329-L (PA)
- Practice address
- 2026 Logans Ferry Road
New Kensington, PA 15068 - Phone
- (724) 335-3696
- NPI assigned
- Sep 12, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120118000537 | PA | Practitioner - Chiropractic | 3577730423 | Practice locations: New Kensington, PA; Greensburg, PA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC004329-L | PA | MD | Chiropractor |
Practice roles (2 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Chiropractic Healthcare LLC | Chiropractor | Past |
Accepting new patients |
| Detrick & Kelly Chiropractic Clinic Inc | Chiropractor | Past |
Accepting new patients |
Networks
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
- devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
- devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
- devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
- OH PPO
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC004329L | PA | |
| Chiropractor | 111N00000X | DC004329-L | PA | Yes |
Addresses
Primary practice location
2026 Logans Ferry Road
New Kensington, PA 15068
Mailing address
2026 Logans Ferry Road
New Kensington, PA 15068
Phone (724) 335-3696
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 605281 | Other | PA | BCBS |
Other providers in New Kensington, PA
- A.L.Balcita Obstetric & Gynecologic Associates,LTD
- Ronald Rhoslyn Abate Jr.
- Leonard V Agostino
- Ak Valley Care Co.
- Melissa Alcorn-Ferry
- Rio Alesna-Lam
- Jihan Allay
All providers in New Kensington, PA · Chiropractor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.