Organization Active NPI

Panther Chiropractic LLC

  • Chiropractor
  • Export, PA
National Provider Identifier
1336295807
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007807L Issued in PA
Legal business name
PANTHER CHIROPRACTIC LLC
Practice address
4950 William Penn Hwy
Export, PA 15632-9240
Phone
(724) 387-1014
Fax
(724) 387-1015
NPI assigned
Jan 26, 2007
Last updated
Apr 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Danielle L Marra-Patts, D.C.NPI 1891760369
Title
Owner
Phone
(724) 387-1014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC007807L PA Primary

Addresses

Primary practice location

4950 William Penn Hwy
Export, PA 15632-9240

Mailing address

4950 William Penn Hwy
Export, PA 15632-9240
Phone (724) 387-1014

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080118000279 PA Part B Supplier - Clinic/Group Practice 0941381669 Receives reassigned benefits from 1 practitioner
Practice locations: Export, PA

National Provider Directory

National Provider Directory

Locations

4950 William Penn Hwy
Export, PA 15632
Phone (724) 387-1014

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1336295807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 WILLIAM PENN HWY",
            "city": "EXPORT",
            "state": "PA",
            "postal_code": "156329240",
            "telephone_number": "724-387-1014",
            "fax_number": "724-387-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 WILLIAM PENN HWY",
            "city": "EXPORT",
            "state": "PA",
            "postal_code": "156329240",
            "telephone_number": "724-387-1014",
            "fax_number": "724-387-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANTHER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "MARRA-PATTS",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-387-1014",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007807L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Export, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.