Total Body Rehabilitation LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

TOTAL BODY REHABILITATION LLC

Doing business as

Shannon Chiropractic Office

Practice address

260 Godwin Ave
Suite 1
Wyckoff, NJ 07481-2099

Phone

(201) 891-1155

Fax

(201) 891-5522

NPI assigned

Oct 23, 2007

Last updated

Nov 30, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian M. Shannon, D. C.NPI 1942352877

Title

Chiropractor / Owner

Phone

(201) 891-1155

Specialties & licenses 2

Addresses

Other names 1

• Shannon Chiropractic Office Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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.

• Brian M Shannon, D.C.

  • Chiropractor
  • Wyckoff, NJ
  • NPI 1942352877
  Medicare reassignment NPD Authorized official
• Christopher Stephen Delia, D.C.

  • Chiropractor
  • Wyckoff, NJ
  • NPI 1528256161
  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1336338581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 GODWIN AVE",
            "address_2": "SUITE 1",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812099",
            "telephone_number": "201-891-1155",
            "fax_number": "201-891-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 GODWIN AVE",
            "address_2": "SUITE 1",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812099",
            "telephone_number": "201-891-1155",
            "fax_number": "201-891-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL BODY REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CHIROPRACTOR / OWNER",
        "authorized_official_telephone_number": "201-891-1155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shannon Chiropractic Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Village Playground
• The Village Therapy Place
• Susan Thomas, PTA
• Maylin M Tjoa, MD
• Alexandra Jude Toback
• Colleen Trahey, APN
• Maddalena Trezza
• Cynthia B. Triggs, M.D.
• Trinity Rehab Somerset PA (Trinity Rehab Wyckoff)
• Megan Triolo, RDN

• Chiropractor in Wyckoff, NJ
• Providers in Wyckoff, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.