Organization Active NPI

Vitality Chiropractic & Rehab, LLC

  • Chiropractor
  • Monroeville, PA
National Provider Identifier
1013505932
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VITALITY CHIROPRACTIC & REHAB, LLC
Practice address
4314 Old William Penn Hwy Ste 103
Monroeville, PA 15146-1455
Phone
(412) 779-2167
NPI assigned
Jan 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Caitlin Jordan, DCNPI 1073001087
Title
Operating Manager, Doctor
Phone
(724) 237-5025

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Pediatric ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NP0017X
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

4314 Old William Penn Hwy Ste 103
Monroeville, PA 15146-1455

Mailing address

4314 Old William Penn Hwy Ste 103
Monroeville, PA 15146-1455
Phone (724) 237-5025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210305000012 PA Part B Supplier - Clinic/Group Practice 2769898337 Receives reassigned benefits from 1 practitioner
Practice locations: Monroeville, PA

National Provider Directory

National Provider Directory

Locations

4314 Old William Penn Hwy
Ste 103
Monroeville, PA 15146
Phone (412) 646-1991

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1013505932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 OLD WILLIAM PENN HWY STE 103",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151461455",
            "telephone_number": "724-237-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 OLD WILLIAM PENN HWY STE 103",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151461455",
            "telephone_number": "412-779-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY CHIROPRACTIC & REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "OPERATING MANAGER, DOCTOR",
        "authorized_official_telephone_number": "724-237-5025",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.

Verify at the official NPI Registry.