Active NPI
Michael Paul Stickloon, D.C.
- Chiropractor
- Philadelphia, PA
National Provider Identifier
1073447470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC009404
- Practice address
- 6522 Lebanon Ave
Philadelphia, PA 19151-3325 - Phone
- (215) 473-2444
- NPI assigned
- Jun 10, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC009404 | PA | Primary |
Addresses
Primary practice location
6522 Lebanon Ave
Philadelphia, PA 19151-3325
Mailing address
11 Macarthur Blvd # E1212
Haddon Township, NJ 08108-3649
Phone (609) 464-0872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lebanon Avenue Medical Center PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Philadelphia, PA
- NPI 1164767117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1073447470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 MACARTHUR BLVD # E1212",
"city": "HADDON TOWNSHIP",
"state": "NJ",
"postal_code": "081083649",
"telephone_number": "609-464-0872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6522 LEBANON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191513325",
"telephone_number": "215-473-2444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STICKLOON",
"first_name": "MICHAEL",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-10",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC009404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.