Active NPI
Spinal Care Chiropractic and Joint Rehabilitation, P.C.
- Chiropractor
- Collegeville, PA
National Provider Identifier
1124419767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC009896
- Legal business name
- SPINAL CARE CHIROPRACTIC AND JOINT REHABILITATION, P.C.
- Practice address
- 109 Second Ave
Collegeville, PA 19426-2608 - Phone
- (386) 562-1269
- Fax
- (610) 489-8821
- NPI assigned
- Feb 17, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kristen Ann Walters, D.C.
- Title
- Owner/Doctos
- Phone
- (386) 562-1269
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC009896 | PA | Primary |
Addresses
Primary practice location
109 Second Ave
Collegeville, PA 19426-2608
Mailing address
109 Second Ave
Collegeville, PA 19426-2608
Phone (386) 562-1269
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospitalist Physician
- Media, PA
- NPI 1194778811
-
- Chiropractor
- Collegeville, PA
- NPI 1467405910
-
- Chiropractor
- Leesport, PA
- NPI 1497440168
-
- Chiropractor
- Wayne, PA
- NPI 1578834149
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Phoenixville, PA
- NPI 1477598647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704672000000",
"number": "1124419767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 SECOND AVE",
"city": "COLLEGEVILLE",
"state": "PA",
"postal_code": "194262608",
"telephone_number": "386-562-1269",
"fax_number": "610-489-8821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 SECOND AVE",
"city": "COLLEGEVILLE",
"state": "PA",
"postal_code": "194262608",
"telephone_number": "386-562-1269",
"fax_number": "610-489-8821"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINAL CARE CHIROPRACTIC AND JOINT REHABILITATION, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-17",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A",
"authorized_official_last_name": "WALTERS",
"authorized_official_first_name": "KRISTEN",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER/DOCTOS",
"authorized_official_telephone_number": "386-562-1269",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "PA",
"license": "DC009896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Collegeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.