Pennsylvania Chiro

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

AJ008623 Issued in PA

Legal business name

PENNSYLVANIA CHIRO

Practice address

1159 6TH St
Waynesburg, PA 15370-0000

Phone

(724) 852-4222

Fax

(724) 852-4222

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Jason Cozart, D.C.NPI 1528182672

Title

Owner

Phone

(724) 852-4222

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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

• Jason F. Cozart, D.C.

  • Chiropractor
  • Waynesburg, PA
  • NPI 1528182672
  Medicare reassignment NPD Authorized official
• Tisha A. Cozart, D.C.

  • Rehabilitation Chiropractor
  • Galloway, NJ
  • NPI 1467576546
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1467573113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 6TH ST",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153700000",
            "telephone_number": "724-852-4222",
            "fax_number": "724-852-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 6TH ST",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153700000",
            "telephone_number": "724-852-4222",
            "fax_number": "724-852-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA CHIRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "COZART",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-852-4222",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "AJ008623",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "AJ008624",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008737",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008762",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC GROUP NUMBER",
            "identifier": "1358010",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "114630WZ9",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "114630",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orthopedic and Sports Physical Therapy Associates
• Bethany Owen, LPC,NCC
• Joseph Robert Pagano, LSW
• Luke Charles Payson, LPC, CAADC
• Anthony M Pecjak
• Pennsylvania CVS Pharmacy LLC
• Jenna Petrick
• Glenda Pierce, DPT
• Gabrielle Pierre, MOTR/L
• Jami Diamond Pincavitch, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.