Organization Active NPI

Skeletonex Chiropractic & Rehabilitation, Inc

  • Chiropractor
  • Ebensburg, PA
National Provider Identifier
1255887394
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011159 Issued in PA
Legal business name
SKELETONEX CHIROPRACTIC & REHABILITATION, INC
Practice address
927 W High St Ste 5
Ebensburg, PA 15931-1856
Phone
(814) 419-8277
Fax
(814) 419-8285
NPI assigned
Aug 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Mrs. Brianne Marie Leichliter
Title
Office Manager
Phone
(814) 419-8277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC011159 PA Primary

Addresses

Primary practice location

927 W High St Ste 5
Ebensburg, PA 15931-1856

Mailing address

927 W High St Ste 5
Ebensburg, PA 15931-1856
Phone (814) 419-8277

Other identifiers 1

IdentifierTypeStateIssuer
1031414440001MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1255887394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 W HIGH ST STE 5",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159311856",
            "telephone_number": "814-419-8277",
            "fax_number": "814-419-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 W HIGH ST STE 5",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159311856",
            "telephone_number": "814-419-8277",
            "fax_number": "814-419-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKELETONEX CHIROPRACTIC & REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "LEICHLITER",
        "authorized_official_first_name": "BRIANNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-419-8277",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031414440001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ebensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.