Organization Active NPI

Sky Chiropractic and Applied Kinesiology

  • Chiropractor
  • Williamsport, PA
National Provider Identifier
1215682885
Registry record updated Feb 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SKY CHIROPRACTIC AND APPLIED KINESIOLOGY
Practice address
911 Westminster Dr Ste 7
Williamsport, PA 17701-3900
Phone
(570) 447-4473
NPI assigned
Feb 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2022

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

Authorized official

Name
Kerri Jacobson, DCNPI 1245617778
Title
Owner
Phone
(570) 447-4473

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

911 Westminster Dr Ste 7
Williamsport, PA 17701-3900

Mailing address

104 Bella Vista Rd
Montoursville, PA 17754-9452
Phone (570) 447-4473

National Provider Directory

National Provider Directory

Locations

911 Westminster Dr
Ste 7
Williamsport, PA 17701
Phone (570) 447-4473

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1644624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644624000000",
    "number": "1215682885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BELLA VISTA RD",
            "city": "MONTOURSVILLE",
            "state": "PA",
            "postal_code": "177549452",
            "telephone_number": "570-447-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 WESTMINSTER DR STE 7",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013900",
            "telephone_number": "570-447-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY CHIROPRACTIC AND APPLIED KINESIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-12",
        "last_updated": "2022-02-12",
        "certification_date": "2022-02-12",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "KERRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-447-4473",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2022; 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.