Organization Active NPI

Vital Roots Chiropractic LLC

Doing business as Vital Roots Chiropractic

  • Chiropractor
  • Seven Fields, PA
National Provider Identifier
1093503450
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VITAL ROOTS CHIROPRACTIC LLC
Doing business as
Vital Roots Chiropractic
Practice address
200 Northpointe Cir Ste 203
Seven Fields, PA 16046-7861
Phone
(614) 370-6984
NPI assigned
Apr 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Dr. Ethan Patrick Cormany, DCNPI 1124808837
Title
Chiropractor/Member
Phone
(614) 370-6984

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Independent Medical Examiner ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NI0013X

Addresses

Primary practice location

200 Northpointe Cir Ste 203
Seven Fields, PA 16046-7861

Mailing address

200 Northpointe Cir Ste 203
Seven Fields, PA 16046-7861
Phone (614) 370-6984

Other names 1

  • Vital Roots Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250710004448 PA Part B Supplier - Clinic/Group Practice 5193230001 Receives reassigned benefits from 2 practitioners
Practice locations: Seven Fields, PA

National Provider Directory

National Provider Directory

Locations

200 Northpointe Cir
Ste 203
Seven Fields, PA 16046
Phone (614) 370-6984

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1093503450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NORTHPOINTE CIR STE 203",
            "city": "SEVEN FIELDS",
            "state": "PA",
            "postal_code": "160467861",
            "telephone_number": "614-370-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NORTHPOINTE CIR STE 203",
            "city": "SEVEN FIELDS",
            "state": "PA",
            "postal_code": "160467861",
            "telephone_number": "614-370-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL ROOTS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-27",
        "status": "A",
        "authorized_official_last_name": "CORMANY",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "CHIROPRACTOR/MEMBER",
        "authorized_official_telephone_number": "614-370-6984",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Roots Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seven Fields, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.