Chiropractic & Rehab Associates, P.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

DC006129L Issued in PA

Legal business name

CHIROPRACTIC & REHAB ASSOCIATES, P.C.

Practice address

112 River St
Tunkhannock, PA 18657-1799

Phone

(570) 836-5305

Fax

(570) 836-6564

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul J Herbener, D.C.NPI 1801830989

Title

President

Phone

(570) 836-5305

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Paul J Herbener, D.C.

  • Chiropractor
  • Tunkhannock, PA
  • NPI 1801830989
  Medicare reassignment NPD Authorized official
• Brian W Carman, D.C.

  • Chiropractor
  • Hazleton, PA
  • NPI 1417990110
  NPD (past)
• Brian Massimini, DC

  • Rehabilitation Chiropractor
  • South Abington Township, PA
  • NPI 1649588641
  NPD (past)
• Shawn W Miller, DC

  • Chiropractor
  • Tunkhannock, PA
  • NPI 1851346456
  NPD (past)
• Michael John Portonova, D.C.

  • Chiropractor
  • Hazleton, PA
  • NPI 1790017176
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1306050950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 RIVER ST",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186571799",
            "telephone_number": "570-836-5305",
            "fax_number": "570-836-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 RIVER ST",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186571799",
            "telephone_number": "570-836-5305",
            "fax_number": "570-836-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC & REHAB ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "HERBENER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-836-5305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "DC006129L",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "DC007819L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015583990002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "814278",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "611633",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "540709",
            "state": "PW"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Chiropractor in Tunkhannock, PA
• Providers in Tunkhannock, PA by specialty
• Rehabilitation Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.