Shelly Mycka, DC, PC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC006918R Issued in PA

Legal business name

SHELLY MYCKA, DC, PC

Practice address

2091 Pottstown Pike
Pottstown, PA 19465-8671

Phone

(610) 469-0700

NPI assigned

Sep 24, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Mycka, DCNPI 1093867418

Title

President

Phone

(610) 469-0700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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

• Michelle Mycka, DC

  • Chiropractor
  • Pottstown, PA
  • NPI 1093867418
  Medicare reassignment NPD Authorized official
• Heidi Pendleton, D.C.

  • Chiropractor
  • Pottstown, PA
  • NPI 1639186745
  NPD (past)

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1275935991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2091 POTTSTOWN PIKE",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194658671",
            "telephone_number": "610-469-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2091 POTTSTOWN PIKE",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194658671",
            "telephone_number": "610-469-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLY MYCKA, DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "MYCKA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-469-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "PA",
            "license": "DC006918R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Elizabeth Shaylor
• Shear to Please Salon
• Michelle Leanne Sheetz
• Andrew Todd Sheinen
• Heather Elizabeth Sheldon, LCSW
• Cynthia L Shepherd
• Irene Shepherd, CRNP
• William Shepherd
• Sheryl Williams Hair Replacement
• Stacy Shilling

• Sports Physician Chiropractor in Pottstown, PA
• Providers in Pottstown, PA by specialty
• Sports Physician Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.