Organization Active NPI

Rehab 2 Wellness Chiropractic PC

  • Chiropractor
  • Havertown, PA
National Provider Identifier
1043650773
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010721 Issued in PA
Legal business name
REHAB 2 WELLNESS CHIROPRACTIC PC
Practice address
510 Darby Rd Ste 3a
Havertown, PA 19083-4630
Phone
(610) 853-9000
NPI assigned
Jun 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Authorized official

Name
Paul RoscioliNPI 1295170405
Title
Ceo/ Owner
Phone
(610) 853-9000

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC010721 PA Primary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X AJ010514 PA

Addresses

Primary practice location

510 Darby Rd Ste 3a
Havertown, PA 19083-4630

Mailing address

510 Darby Rd Ste 3a
Havertown, PA 19083-4630
Phone (610) 853-9000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130913000539 PA Part B Supplier - Clinic/Group Practice 5890939755 Receives reassigned benefits from 1 practitioner
Practice locations: Havertown, PA

National Provider Directory

National Provider Directory

Locations

34 Brookline Blvd
Ste B
Havertown, PA 19083
Phone (484) 469-7729

510 Darby Rd
Ste 3A
Havertown, PA 19083
Phone (610) 853-9000

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": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1043650773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 DARBY RD STE 3A",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834630",
            "telephone_number": "610-853-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 DARBY RD STE 3A",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834630",
            "telephone_number": "610-853-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB 2 WELLNESS CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "ROSCIOLI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "610-853-9000"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010721",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "AJ010514",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.