Wise Chiropractic & Rehabilitation Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WISE CHIROPRACTIC & REHABILITATION CENTER INC

Practice address

5 W Main St
Lock Haven, PA 17745-1243

Phone

(570) 748-7462

Fax

(570) 748-8910

NPI assigned

Oct 19, 2005

Organization subpart

No

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

Authorized official

Name

Von Wise, DCNPI 1073502092

Title

Owner PT

Phone

(570) 748-7462

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 3

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

• Von P Wise, DC

  • Chiropractor
  • Lock Haven, PA
  • NPI 1073502092
  Medicare reassignment NPD Authorized official
• Jason Michael Stephens, DC

  • Chiropractor
  • Johnstown, PA
  • NPI 1124189170
  NPD (past)
• Brian F Wallace, DC

  • Chiropractor
  • Brookville, PA
  • NPI 1649269788
  NPD (past)

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316936602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 W MAIN ST",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177451243",
            "telephone_number": "570-748-7462",
            "fax_number": "570-748-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W MAIN ST",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177451243",
            "telephone_number": "570-748-7462",
            "fax_number": "570-748-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE CHIROPRACTIC & REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "VON",
        "authorized_official_title_or_position": "OWNER PT",
        "authorized_official_telephone_number": "570-748-7462",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0076902450003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1322904",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Wilcox
• Leanne Wilson, MS
• Amiya Summer Wilt
• Bobbi Winn, COTA/L
• Louis Sands Winner Jr., DDS
• Robert C Wise II, D.C.
• Von P Wise, DC
• Samantha Ann Witner, CRNP
• Rebecca Melissa Wright, L.P.C.
• Aud Elaine Yearick, LMT

• Chiropractor in Lock Haven, PA
• Providers in Lock Haven, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.