Individual provider Active NPI

Breanna Rae Schall, DC

  • Chiropractor
  • Leechburg, PA
National Provider Identifier
1083187900
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011442 Issued in PA
Practice address
140 Market St
Leechburg, PA 15656-1335
Phone
(724) 236-0829
Fax
(724) 236-0830
NPI assigned
Jan 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011442 PA Primary

Addresses

Primary practice location

140 Market St
Leechburg, PA 15656-1335

Mailing address

140 Market St
Leechburg, PA 15656-1335
Phone (724) 236-0829

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190826001961 PA Practitioner - Chiropractic 4183952336 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nittany Valley Chiropractic Center, LLCGroup PAC ID 2062737083, 5 clinicians

Practice addresses (Care Compare)

611 University Dr
Suite 214
State College, PA 16801-6552
Phone (814) 234-5271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Performance and Spine, LLC CurrentSince Jul 8, 2019 Accepting new patients
Nittany Valley Chiropractic Center, LLC CurrentSince May 12, 2021 Accepting new patients

Locations

140 Market St
Leechburg, PA 15656
Phone (724) 236-0829

4491 School Rd S
Murrysville, PA 15632
Phone (724) 519-8261

611 University Dr
Ste 214
State College, PA 16801
Phone (814) 234-5271

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1083187900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MARKET ST",
            "city": "LEECHBURG",
            "state": "PA",
            "postal_code": "156561335",
            "telephone_number": "724-236-0829",
            "fax_number": "724-236-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MARKET ST",
            "city": "LEECHBURG",
            "state": "PA",
            "postal_code": "156561335",
            "telephone_number": "724-236-0829",
            "fax_number": "724-236-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHALL",
        "first_name": "BREANNA",
        "middle_name": "RAE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leechburg, PA

Sources for this page

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