Thomas Jerard Stepanski

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC011801 Issued in PA

Practice address

1730 E Broad St
Hazleton, PA 18201-5657

Phone

(570) 497-4150

NPI assigned

Jan 3, 2023

Last updated

Jan 3, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sacco Chiropractic PC

  • Chiropractor
  • Hazleton, PA
  • NPI 1174069629
  Medicare reassignment NPD

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1366155574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015657",
            "telephone_number": "570-497-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015657",
            "telephone_number": "570-497-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPANSKI",
        "first_name": "THOMAS",
        "middle_name": "JERARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arvind Srinivasan, M.D.
• Anthony John Stachurski Jr., COTA/L
• Brenda A Stachurski, DPT
• Catie Stamets
• Lisa Steffes, DPT MTC NCTMB
• Stephen M Wolk MD PC
• Stephen N. Shoemaker, D.O., P.C.
• Steven E. Nicholson, D.M.D., P.C.
• Edward Thomas Stish Jr.
• Heather Ann Sugarman, CRNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.