Innovative Muscle Therapy and Pain Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009088 Issued in PA

Legal business name

INNOVATIVE MUSCLE THERAPY AND PAIN CENTER LLC

Practice address

3100 Dutton Mill Rd
Aston, PA 19014-2844

Phone

(610) 485-5001

Fax

(610) 485-7320

NPI assigned

Aug 26, 2011

Organization subpart

No

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

Authorized official

Name

Steven A. Mathews, DCNPI 1346210390

Title

President

Phone

(484) 999-8142

Specialties & licenses 1

Addresses

Other names 1

• INNOVATIVE MUSCLE THERAPY AND PAIN CNTER Former legal business name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

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

• Steven A. Mathews I, D.C.

  • Chiropractor
  • West Chester, PA
  • NPI 1346210390
  Medicare reassignment Care Compare group NPD Authorized official
• Peter Clain, MPT

  • Physical Therapist
  • West Chester, PA
  • NPI 1144954785
  Medicare reassignment Care Compare group NPD
• Shane Jacobi, DC

  • Chiropractor
  • West Chester, PA
  • NPI 1265169619
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544572800000",
    "number": "1336429083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 W CHESTER PIKE STE 20",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193827979",
            "telephone_number": "484-999-8142",
            "fax_number": "610-485-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 DUTTON MILL RD",
            "city": "ASTON",
            "state": "PA",
            "postal_code": "190142844",
            "telephone_number": "610-485-5001",
            "fax_number": "610-485-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE MUSCLE THERAPY AND PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-26",
        "last_updated": "2018-12-12",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-999-8142",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INNOVATIVE MUSCLE THERAPY AND PAIN CNTER",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "INNOVATIVE MUSCLE THERAPY AND PAIN CNTER",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Carl Dennis Jackson, D.M.D.
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• Donald W Johnson, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.