Organization Active NPI

Tancredi Chiropractic & Rehabilitation Center P C

  • Sports Physician Chiropractor
  • Broomall, PA
National Provider Identifier
1477763308
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC003716L Issued in PA
Legal business name
TANCREDI CHIROPRACTIC & REHABILITATION CENTER P C
Practice address
600 Reed Rd
Broomall, PA 19008-3505
Phone
(610) 353-9400
Fax
(610) 353-2280
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Authorized official

Name
Dr. Michael Joseph Tancredi, D.C
Title
President
Phone
(610) 353-9400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X DC003716L PA Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT013686L PA

Addresses

Primary practice location

600 Reed Rd
Broomall, PA 19008-3505

Mailing address

600 Reed Rd
Broomall, PA 19008-3505
Phone (610) 353-9400

National Provider Directory

National Provider Directory

Locations

600 Reed Rd
Broomall, PA 19008
Phone (484) 326-0251

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1477763308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 REED RD",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083505",
            "telephone_number": "610-353-9400",
            "fax_number": "610-353-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 REED RD",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083505",
            "telephone_number": "610-353-9400",
            "fax_number": "610-353-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANCREDI CHIROPRACTIC & REHABILITATION CENTER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "TANCREDI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-353-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "PA",
            "license": "DC003716L",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT013686L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.