Organization Active NPI

Reach Wellness

  • Chiropractor
  • Mt. Laurel, NJ
National Provider Identifier
1053625004
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
REACH WELLNESS
Practice address
15000 Midlantic Drive
Suite 102
Mt. Laurel, NJ 08054
Phone
(856) 866-0711
Fax
(856) 793-9050
NPI assigned
Aug 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Authorized official

Name
Audrey Brenner
Title
Office Manager
Phone
(856) 866-0711

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 38MC00382400 NJ
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

15000 Midlantic Drive
Suite 102
Mt. Laurel, NJ 08054

Mailing address

200 Chester Avenue
Unit #660
Moorestown, NJ 08057
Phone (856) 866-0711

National Provider Directory

National Provider Directory

Locations

1000 S Lenola Rd
Ste 205
Maple Shade, NJ 08052
Phone (856) 866-0711

63 E Main St
Moorestown, NJ 08057
Phone (856) 234-5568

200 Chester Ave
Unit 660
Moorestown, NJ 08057

15000 Midlantic Dr
Ste 102
Mount Laurel, NJ 08054
Phone (855) 727-2465

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": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1053625004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CHESTER AVENUE",
            "address_2": "UNIT #660",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "08057",
            "telephone_number": "856-866-0711",
            "fax_number": "856-793-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 MIDLANTIC DRIVE",
            "address_2": "SUITE 102",
            "city": "MT. LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-866-0711",
            "fax_number": "856-793-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACH WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "BRENNER",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "856-866-0711"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00382400",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt. Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.