Penn Spine & Performance Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009869 Issued in PA

Legal business name

PENN SPINE & PERFORMANCE CENTER LLC

Practice address

403 W Lincoln Hwy
Exton, PA 19341-2559

Phone

(610) 524-6680

Fax

(610) 524-6681

NPI assigned

Jan 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Andrzej Glogowski, D.C.

Title

Chiropractor

Phone

(610) 524-6680

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Le, DC, DPT, PT

  • Physical Therapist
  • Exton, PA
  • NPI 1841647336
  NPD (past)

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1194902148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 W LINCOLN HWY",
            "address_2": "SUITE 108",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412559",
            "telephone_number": "610-524-6680",
            "fax_number": "610-524-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W LINCOLN HWY",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412559",
            "telephone_number": "610-524-6680",
            "fax_number": "610-524-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN SPINE & PERFORMANCE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "GLOGOWSKI",
        "authorized_official_first_name": "ANDRZEJ",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "610-524-6680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "DC009869",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Peck, PA-C
• Pediatric Care of Exton, P.C.
• Lisa M Pedrick, DMD
• Penn Foundation Inc
• Penn Premier Dental, Inc.
• Suzanne Pennock, RN
• Pennsylvania
• Pennsylvania Advanced Wound Care and Limb Salvage PLLC
• Pennsylvania CVS Pharmacy LLC
• Pennsylvania CVS Pharmacy LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.