Mengge Liu, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC011504 Issued in PA

Practice address

1349 W Cheltenham Ave Ste 201
Elkins Park, PA 19027-3141

Phone

(215) 782-1612

NPI assigned

Sep 3, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reboot Integrative Wellness CenterGroup PAC ID 5395058853, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Reboot Integrative Wellness Center

  • Physical Therapy Clinic/Center
  • Elkins Park, PA
  • NPI 1215324926
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1033767926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 PRICE AVE APT J32",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190721829",
            "telephone_number": "203-893-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 W CHELTENHAM AVE STE 201",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190273141",
            "telephone_number": "215-782-1612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "924 Cherry St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191072411",
            "country_code": "US",
            "telephone_number": "267-909-8877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "MENGGE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pingjia Li, CRNP
• Liberty Human Services, LLC
• Miriam Lichter
• Lifestages Pediatrics LLC
• Jill Susanne Lipschutz, MSS, LCSW
• Jamie Lo, MMS, PA-C
• Vincent Michael Long, PT, DPT, NCS, ATP
• Louise Catherine Lonsdale, PSY.D
• Sarah Lorraine
• Juliette E Louis-Charles, DO

• Chiropractor in Elkins Park, PA
• Providers in Elkins Park, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.