Organization Active NPI

Pottstown Chiropractic Rehabilitation Center

  • Chiropractor
  • Pottstown, PA
National Provider Identifier
1356360432
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC004684L Issued in PA
Legal business name
POTTSTOWN CHIROPRACTIC REHABILITATION CENTER
Practice address
8 Glocker Way
Pottstown, PA 19465-9649
Phone
(610) 718-1183
Fax
(610) 718-5512
NPI assigned
Jul 19, 2006
Last updated
Oct 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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

Authorized official

Name
Dr. Mark Halteman, D.C.
Title
Doctor
Phone
(610) 718-1183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC004684L PA Primary

Addresses

Primary practice location

8 Glocker Way
Pottstown, PA 19465-9649

Mailing address

8 Glocker Way
Pottstown, PA 19465-9649
Phone (610) 718-1183

National Provider Directory

National Provider Directory

Locations

142 Shoemaker Rd
#D
Pottstown, PA 19464
Phone (610) 718-1183

8 Glocker Way
Pottstown, PA 19465
Phone (610) 326-9666

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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1356360432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 GLOCKER WAY",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194659649",
            "telephone_number": "610-718-1183",
            "fax_number": "610-718-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 GLOCKER WAY",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194659649",
            "telephone_number": "610-718-1183",
            "fax_number": "610-718-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTTSTOWN CHIROPRACTIC REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "HALTEMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "610-718-1183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004684L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.