Active NPI
Willow Grove Get Well
- Rehabilitation Chiropractor
- Willow Grove, PA
National Provider Identifier
1164814059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- DC006600Y
- Legal business name
- WILLOW GROVE GET WELL
- Practice address
- 612 Fitzwatertown Rd
Willow Grove, PA 19090-1904 - Phone
- (215) 366-7363
- Fax
- (215) 366-7393
- NPI assigned
- Mar 2, 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
- Lynne Guarnaccia
- Title
- Office Manager
- Phone
- (215) 366-7363
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | DC006600Y | PA | Primary |
Addresses
Primary practice location
612 Fitzwatertown Rd
Willow Grove, PA 19090-1904
Mailing address
612 Fitzwatertown Rd
Willow Grove, PA 19090-1904
Phone (215) 366-7363
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449619200000",
"number": "1164814059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 FITZWATERTOWN RD",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901904",
"telephone_number": "215-366-7363",
"fax_number": "215-366-7393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 FITZWATERTOWN RD",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901904",
"telephone_number": "215-366-7363",
"fax_number": "215-366-7393"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLOW GROVE GET WELL",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-02",
"last_updated": "2015-12-09",
"status": "A",
"authorized_official_last_name": "GUARNACCIA",
"authorized_official_first_name": "LYNNE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "215-366-7363"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "PA",
"license": "DC006600Y",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willow Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.