Organization Active NPI

Rose City Sport and Spine LLC

Doing business as Rose City Sport and Spine

  • Chiropractor
  • Lancaster, PA
National Provider Identifier
1013510643
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ROSE CITY SPORT AND SPINE LLC
Doing business as
Rose City Sport and Spine
Practice address
1834 Oregon Pike Ste 12
Lancaster, PA 17601-6463
Phone
(717) 220-3347
Fax
(717) 205-1691
NPI assigned
Nov 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Matthew Henly, DCNPI 1770081234
Title
Owner/Chiropractor
Phone
(717) 220-3347

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1834 Oregon Pike Ste 12
Lancaster, PA 17601-6463

Mailing address

1834 Oregon Pike Ste 12
Lancaster, PA 17601-6463
Phone (717) 220-3347

Other names 1

  • Rose City Sport and Spine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201230001864 PA Part B Supplier - Clinic/Group Practice 8820401367 Receives reassigned benefits from 1 practitioner
Practice locations: Lancaster, PA

National Provider Directory

National Provider Directory

Locations

1834 Oregon Pike
Ste 12
Lancaster, PA 17601
Phone (717) 220-3347

313 W Liberty St
Ste 359
Lancaster, PA 17603
Phone (717) 228-8536

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": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1013510643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 OREGON PIKE STE 12",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016463",
            "telephone_number": "717-220-3347",
            "fax_number": "717-205-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 OREGON PIKE STE 12",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016463",
            "telephone_number": "717-220-3347",
            "fax_number": "717-205-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE CITY SPORT AND SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "HENLY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "717-220-3347",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose City Sport and Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.