Itkin Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ITKIN CHIROPRACTIC PC

Doing business as

Northeast Rehabilitation Center

Practice address

14425 Bustleton Ave
Suite 101
Philadelphia, PA 19116

Phone

(215) 676-3236

Fax

(215) 676-4275

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Olga Itkin, DCNPI 1033101910

Title

President

Phone

(215) 676-3236

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Northeast Rehabilitation Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Olga Itkin, D.C.

  • Chiropractor
  • Philadelphia, PA
  • NPI 1033101910
  NPD Authorized official

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497916800000",
    "number": "1235294745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14425 BUSTLETON AVE",
            "address_2": "SUITE #101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19116",
            "telephone_number": "215-676-3236",
            "fax_number": "215-676-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14425 BUSTLETON AVE",
            "address_2": "SUITE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19116",
            "telephone_number": "215-676-3236",
            "fax_number": "215-676-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITKIN CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2017-06-20",
        "status": "A",
        "authorized_official_last_name": "ITKIN",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-676-3236",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01530727",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gelena Itkin, PHARMD
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• Malika Iton, CNM, WHNP
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• Mark Itzen, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; 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.