Organization Active NPI

Hermitage 1 LLC

Doing business as Freedom Chiropractic

  • Chiropractor
  • Hermitage, PA
National Provider Identifier
1104345966
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HERMITAGE 1 LLC
Doing business as
Freedom Chiropractic
Practice address
155 N Hermitage Rd
Hermitage, PA 16148-3345
Phone
(724) 983-0442
Fax
(724) 979-6303
NPI assigned
Sep 13, 2017
Last updated
Dec 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Authorized official

Name
Melissa Ralston
Title
Chiropractic Assistant
Phone
(724) 983-0442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

155 N Hermitage Rd
Hermitage, PA 16148-3345

Mailing address

155 N Hermitage Rd
Hermitage, PA 16148-3345
Phone (724) 983-0442

Other names 1

  • FREEDOM CHIROPRACTIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171206002441 PA Part B Supplier - Clinic/Group Practice 8022375666 Receives reassigned benefits from 1 practitioner
Practice locations: Hermitage, PA

National Provider Directory

National Provider Directory

Locations

2710 Rochester Rd
Cranberry Twp, PA 16066

155 N Hermitage Rd
Hermitage, PA 16148
Phone (724) 983-0442

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": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1104345966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N HERMITAGE RD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483345",
            "telephone_number": "724-983-0442",
            "fax_number": "724-979-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N HERMITAGE RD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483345",
            "telephone_number": "724-983-0442",
            "fax_number": "724-979-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMITAGE 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CHIROPRACTIC ASSISTANT",
        "authorized_official_telephone_number": "724-983-0442"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FREEDOM CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hermitage, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.