Kimberly Ann Krisiak

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC010101 Issued in PA

Practice address

125 N Main St
Taylor, PA 18517-1432

Phone

(570) 562-7770

Fax

(570) 562-7775

NPI assigned

Oct 22, 2008

Last updated

Apr 20, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Krisiak Chiropractic, P.C.

  • Chiropractor
  • Eynon, PA
  • NPI 1730471962
  Medicare reassignment NPD Authorized official
• Advanced Physical Medicine Associates

  • Physical Medicine & Rehabilitation Physician
  • Old Forge, PA
  • NPI 1235362708

  Chiropractor

  NPD (past)
• Pinnacle Rehabilitation Associates PC

  • Physical Therapist
  • Kingston, PA
  • NPI 1134167729
  NPD (past)
• Total Body Chiropractic PC

  • Chiropractor
  • Taylor, PA
  • NPI 1487767943
  NPD (past)

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240185600000",
    "number": "1326290206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N MAIN ST",
            "city": "TAYLOR",
            "state": "PA",
            "postal_code": "185171432",
            "telephone_number": "570-562-7770",
            "fax_number": "570-562-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N MAIN ST",
            "city": "TAYLOR",
            "state": "PA",
            "postal_code": "185171432",
            "telephone_number": "570-562-7770",
            "fax_number": "570-562-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISIAK",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2009-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guardian Elder Care at Taylor LLC (Riverside Healthcare and Rehabilitation Center)
• Madison Haduck, PHARMD
• Keystone Rehabilitation Systems, Inc. (Novacare Rehabilitation)
• Maureen C Kozloski, MD
• William Joseph Krah III, DC
• Lighthouse Counseling Associates
• Loving Care Agency, Inc
• Katlyn Marie Lytle Rushing, PA-C
• Ken John Matsko Jr., MS BSL
• Brooke Ana Mickavicz, MS, RDN, LDN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.