Active NPI
Robert Zachary Rush, D.C.
- Chiropractor
- Philadelphia, PA
National Provider Identifier
1275676348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC5386L
- Practice address
- 13044 Bustleton Ave
2ND Floor
Philadelphia, PA 19116-1602 - Phone
- (215) 677-2225
- NPI assigned
- Feb 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC5386L | PA | Primary |
Addresses
Primary practice location
13044 Bustleton Ave
2ND Floor
Philadelphia, PA 19116-1602
Mailing address
13044 Bustleton Ave
2ND Floor
Philadelphia, PA 19116-1602
Phone (215) 677-2225
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0654571000 | Other | PA | PERSONAL CHOICE PROVIDER |
| 745376 | Other | PA | BLUE SHIELD PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC5386L | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275676348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13044 BUSTLETON AVE",
"address_2": "2ND FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191161602",
"telephone_number": "215-677-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13044 BUSTLETON AVE",
"address_2": "2ND FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191161602",
"telephone_number": "215-677-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSH",
"first_name": "ROBERT",
"middle_name": "ZACHARY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC5386L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE PROVIDER",
"identifier": "0654571000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER",
"identifier": "745376",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.