Jason Ellis LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JASON ELLIS LLC

Doing business as

Back 2 Health Chiropractic

Practice address

1446 Baltimore St Ste D
Hanover, PA 17331-8248

Phone

(717) 797-2760

NPI assigned

Mar 10, 2021

Last updated

Jun 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason Ellis, DCNPI 1437618055

Title

Owner/Provider/Ao

Phone

(570) 262-6963

Specialties & licenses 1

Addresses

Other names 2

• Back 2 Health Chiropractic Doing business as
• JASON ELLIS Other name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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.

• Jason Daniel Ellis, DC

  • Chiropractor
  • Hanover, PA
  • NPI 1437618055
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1295310324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1446 BALTIMORE ST STE D",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173318248",
            "telephone_number": "717-797-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 BALTIMORE ST STE D",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173318248",
            "telephone_number": "717-797-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON ELLIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER/PROVIDER/AO",
        "authorized_official_telephone_number": "570-262-6963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back 2 Health Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Back 2 Health Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JASON ELLIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Inwha Cho, MD
• Janene Boyette Ireland, CRNP FNP-BC
• Eric James Jackson, D.O.
• Tiffany Sam Jacobs
• Wade Stewart Jacoby, LSW
• Miranda Jenkins, MSW, LSW
• Seongho John Jeong, MD
• Jmdlad Inc.
• Jmdlad Inc. (DBA Darrell M. Sipe Opticians Inc.)
• Joan Werleman DDS PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.