Phoenix Laser Therapy & Chiropractic Center, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC006347L Issued in PA

Legal business name

PHOENIX LASER THERAPY & CHIROPRACTIC CENTER, INC.

Practice address

256 Mall Blvd
King of Prussia, PA 19406-2902

Phone

(610) 265-1124

Fax

(610) 265-1134

NPI assigned

Oct 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Cornell Michael Yellen, D.C.NPI 1427014356

Title

President

Phone

(610) 265-1124

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Cornell Michael Yellen, D.C.

  • Chiropractor
  • King of Prussia, PA
  • NPI 1427014356
  NPD (past) Authorized official

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467549691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 MALL BLVD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062902",
            "telephone_number": "610-265-1124",
            "fax_number": "610-265-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 MALL BLVD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062902",
            "telephone_number": "610-265-1124",
            "fax_number": "610-265-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX LASER THERAPY & CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YELLEN",
        "authorized_official_first_name": "CORNELL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-265-1124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006347L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin K Perry, LCSW
• Amber B Petrozino, DPT
• Christina Pettet, PT, DPT
• Cat Phuong Ho Pham, PHARM.D.
• Ericka Philibert
• Lisa L Phun, R.PH
• Jessica Picard, MS, BCBA
• Christine Marie Pickard
• Allison Pickel, MA, LPC
• James E Pickel, DMD

• Chiropractor in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.