Impact Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC011153 Issued in PA

Legal business name

IMPACT CHIROPRACTIC LLC

Practice address

187 W Lincoln Hwy
Suite 100
Exton, PA 19341-2617

Phone

(484) 200-7711

Fax

(610) 706-4889

NPI assigned

Nov 21, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Rachael Thompson, DCNPI 1639612740

Title

Owner

Phone

(484) 200-7711

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

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

• Rachael Thompson, DC

  • Chiropractor
  • Exton, PA
  • NPI 1639612740
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1447793559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 W LINCOLN HWY",
            "address_2": "SUITE 100",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412617",
            "telephone_number": "484-200-7711",
            "fax_number": "610-706-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 W LINCOLN HWY",
            "address_2": "SUITE 100",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412617",
            "telephone_number": "484-200-7711",
            "fax_number": "610-706-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-200-7711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalton R Hunt, OTR/L
• Melanie Hunt
• Michael Sean Hurley, D.C.
• Ashley Hutton
• Ideal Smile of Exton
• Inclusive Counseling Center LLS
• Megan Ann Infanti Mraz, RN, PHD
• Rachel Leigh Ink
• Alyssa Innaurato
• Innovative Living Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.