Paul Raymond Rebholz, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009471 Issued in PA

Practice address

213 Executive Dr
Suite 120
Cranberry Township, PA 16066-6442

Phone

(724) 742-1777

Fax

(724) 742-1780

NPI assigned

Dec 14, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

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.

• Spinal Health and Wellness Center, LLC

  • Chiropractor
  • Cranberry Township, PA
  • NPI 1801961610
  NPD (past)

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

{
    "created_epoch": "1229212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229212800000",
    "number": "1053556464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 CONCORD CIRCLE RD",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150108533",
            "telephone_number": "412-592-4423",
            "fax_number": "412-548-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 EXECUTIVE DR",
            "address_2": "SUITE 120",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160666442",
            "telephone_number": "724-742-1777",
            "fax_number": "724-742-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBHOLZ",
        "first_name": "PAUL",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-14",
        "last_updated": "2008-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009471",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "PA",
            "license": "DC009471",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rainier Physical Therapy LLC
• Nabila Malik Raja, D.D.S.
• Rathfon Family Chiropractic LLC
• Adam C Rathfon, DC
• Katy R Ratkovich, MPA, PA-C
• Jenna Reisdorf
• John Reiser
• Michael Regis Renk, D.C.
• Results Chiropractic Center, Inc.
• Eileen May Retamal

• Chiropractor in Cranberry Township, PA
• Providers in Cranberry Township, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.