Michael R Petrosky, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009308 Issued in PA

Practice address

638 Newtown Yardley Rd
Ste 2E
Newtown, PA 18940

Phone

(215) 968-1711

Fax

(215) 860-1976

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2002

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Petrosky Chiropractic & Rehabilitation, LLC

  • Chiropractor
  • Newtown, PA
  • NPI 1841310257
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1184632622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 NEWTOWN YARDLEY RD",
            "address_2": "STE 2E",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "18940",
            "telephone_number": "215-968-1711",
            "fax_number": "215-860-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 NEWTOWN YARDLEY RD",
            "address_2": "STE 2E",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "18940",
            "telephone_number": "215-968-1711",
            "fax_number": "215-860-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROSKY",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005067049",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2451693000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Petersen, OTR/L
• Zachary Petiet
• Serguei Petouhov
• Danielle Petrillo
• Petrosky Chiropractic & Rehabilitation, LLC
• Ania Sylvia Petrova, BCBA
• Katelyn Petruzzi
• Bridget Pettit
• Pharmacy of Newtown LLC
• Daniel Joseph Pichola

• Chiropractor in Newtown, PA
• Providers in Newtown, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.