Organization Active NPI

Performance Chiropractic and Rehabilitation

  • Chiropractor
  • Harrisburg, PA
National Provider Identifier
1114502143
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PERFORMANCE CHIROPRACTIC AND REHABILITATION
Practice address
701 N Mountain Rd
Harrisburg, PA 17112-2373
Phone
(717) 695-3540
Fax
(717) 307-3514
NPI assigned
Mar 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Authorized official

Name
Melanie Norris
Title
Office Manager
Phone
(717) 695-3540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

701 N Mountain Rd
Harrisburg, PA 17112-2373

Mailing address

701 N Mountain Rd
Harrisburg, PA 17112-2373
Phone (717) 695-3540

Other identifiers 1

IdentifierTypeStateIssuer
DC009843OtherPAPA STATE LICENSE

National Provider Directory

National Provider Directory

Locations

701 N Mountain Rd
Harrisburg, PA 17112
Phone (717) 695-3540

Practitioners & affiliated clinicians

Practitioners 1

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": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1114502143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N MOUNTAIN RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122373",
            "telephone_number": "717-695-3540",
            "fax_number": "717-307-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N MOUNTAIN RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122373",
            "telephone_number": "717-695-3540",
            "fax_number": "717-307-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE CHIROPRACTIC AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-695-3540"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE LICENSE",
            "identifier": "DC009843",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.