Individual provider Active NPI

Abigail Pfaffenbach

  • Chiropractor
  • North Manchester, IN
National Provider Identifier
1124852660
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003439A Issued in IN
Practice address
101 S River Rd
North Manchester, IN 46962-9380
Phone
(260) 571-7575
NPI assigned
Aug 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003439A IN Primary

Addresses

Primary practice location

101 S River Rd
North Manchester, IN 46962-9380

Mailing address

101 S River Rd
North Manchester, IN 46962-9380

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241221000035 IN Practitioner - Chiropractic 9436686904 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08003439AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Life Chiropractic LLC Chiropractor CurrentSince Nov 18, 2024 Accepting new patients

Locations

101 S River Rd
North Manchester, IN 46962
Phone (260) 571-7575

Organizations & group practices 1

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": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1124852660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S RIVER RD",
            "city": "NORTH MANCHESTER",
            "state": "IN",
            "postal_code": "469629380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S RIVER RD",
            "city": "NORTH MANCHESTER",
            "state": "IN",
            "postal_code": "469629380",
            "telephone_number": "260-571-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFAFFENBACH",
        "first_name": "ABIGAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003439A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Manchester, IN

Sources for this page

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

Verify at the official NPI Registry.