Organization Active NPI

Neck and Back Center of Erie, LLC

  • Chiropractor
  • Erie, PA
National Provider Identifier
1316731284
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NECK AND BACK CENTER OF ERIE, LLC
Practice address
3441 Peach St
Erie, PA 16508-2794
Phone
(814) 864-2225
Fax
(814) 868-1199
NPI assigned
Apr 7, 2025
Last updated
Jun 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Authorized official

Name
Ms. Michele Clark
Title
Billing Manager
Phone
(512) 897-4047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

3441 Peach St
Erie, PA 16508-2794

Mailing address

3441 Peach St
Erie, PA 16508-2794
Phone (814) 864-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250623000437 PA Part B Supplier - Clinic/Group Practice 3375055742 Receives reassigned benefits from 2 practitioners
Practice locations: Erie, PA

National Provider Directory

National Provider Directory

Locations

3441 Peach St
Erie, PA 16508
Phone (814) 864-2225

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1316731284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082794",
            "telephone_number": "814-864-2225",
            "fax_number": "814-868-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082794",
            "telephone_number": "814-864-2225",
            "fax_number": "814-868-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NECK AND BACK CENTER OF ERIE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "512-897-4047",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.