Organization Active NPI

Active Chiropractic and Rehabilitation, LLC

  • Sports Physician Chiropractor
  • Murrysville, PA
National Provider Identifier
1356736334
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC009627 Issued in PA
Legal business name
ACTIVE CHIROPRACTIC AND REHABILITATION, LLC
Practice address
3896 Old William Penn Hwy Ste 100
Murrysville, PA 15668-1865
Phone
(724) 519-8622
Fax
(724) 519-8623
NPI assigned
Apr 6, 2015
Last updated
Jul 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Dr. Thomas Frank Antonucci, DCNPI 1952343972
Title
Owner / Chiropractor
Phone
(724) 519-8622

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
Sports Physician Chiropractor 111NS0005X DC009627 PA Primary

Addresses

Primary practice location

3896 Old William Penn Hwy Ste 100
Murrysville, PA 15668-1865

Mailing address

7950 Saltsburg Rd
Suite 1
Pittsburgh, PA 15239-1974
Phone (412) 793-3700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150708000102 PA Part B Supplier - Clinic/Group Practice 0244542009 Receives reassigned benefits from 1 practitioner
Practice locations: Murrysville, PA

National Provider Directory

National Provider Directory

Locations

3896 Old William Penn Hwy
Ste 100
Murrysville, PA 15668
Phone (724) 519-8622

7950 Saltsburg Rd
Ste 1
Plum, PA 15239
Phone (412) 793-3700

Practitioners & affiliated clinicians

Practitioners 3

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": "1428278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1356736334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 SALTSBURG RD",
            "address_2": "SUITE 1",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152391974",
            "telephone_number": "412-793-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3896 OLD WILLIAM PENN HWY STE 100",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681865",
            "telephone_number": "724-519-8622",
            "fax_number": "724-519-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE CHIROPRACTIC AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-06",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "ANTONUCCI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER / CHIROPRACTOR",
        "authorized_official_telephone_number": "724-519-8622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "PA",
            "license": "DC009627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrysville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.