Havertown Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HAVERTOWN WELLNESS CENTER

Practice address

34 Brookline Blvd
Havertown, PA 19083-3802

Phone

(610) 449-9838

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Jeff Grigatis

Title

Owner

Phone

(610) 449-9838

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

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

• Theresa Ann Johns, D.C.

  • Chiropractor
  • King of Prussia, PA
  • NPI 1194914507
  NPD (past)
• Alexander Kostrubiak, DPT

  • Orthopedic Physical Therapist
  • Philadelphia, PA
  • NPI 1235522012
  NPD (past)
• Kelli Lebaron, D.C.

  • Chiropractor
  • Broomall, PA
  • NPI 1265479190
  NPD (past)
• Brian Mark Shuffler, D.C.

  • Chiropractor
  • Philadelphia, PA
  • NPI 1164442380
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477561017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 BROOKLINE BLVD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190833802",
            "telephone_number": "610-449-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 BROOKLINE BLVD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190833802",
            "telephone_number": "610-449-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVERTOWN WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIGATIS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-449-9838"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1376742",
            "identifier": "HIGHMARK",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "2068450000",
            "identifier": "IBC",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Havertown Dental Associates PC
• Havertown Family Dentistry
• Havertown Radiosurgery Center PC
• Havertown Radiosurgery Center, PC
• Havertown Smile Studio LLC
• Barbara Hayward, M.S., LPC
• Health Plus Pharmacy Inc
• Randi Michelle Helfand, L.AC.
• Kate Susan Henderson, MT-BC
• Patricia J Hennessy, PT

• Chiropractor in Havertown, PA
• Providers in Havertown, 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.