Organization Active NPI

Hope Within Wellness Center LLC

  • Chiropractor
  • Hazleton, PA
National Provider Identifier
1477809457
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC005879L Issued in PA
Legal business name
HOPE WITHIN WELLNESS CENTER LLC
Practice address
305 S Church St
Suite 115
Hazleton, PA 18201-7605
Phone
(570) 497-4766
Fax
(570) 245-3899
NPI assigned
Jul 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Mrs. Lea R.M Thibeault, LMTNPI 1245536622
Title
Co- Owner
Phone
(570) 497-4766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC005879L PA Primary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X MSG003571 PA
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X MSG003195 PA

Addresses

Primary practice location

305 S Church St
Suite 115
Hazleton, PA 18201-7605

Mailing address

305 S Church St
Suite 115
Hazleton, PA 18201-7605
Phone (570) 497-4766

National Provider Directory

National Provider Directory
Tax ID family
Hope Within Massage Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

305 S Church St
Ste 115
Hazleton, PA 18201
Phone (570) 479-4766

Practitioners & affiliated clinicians

Practitioners 2

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": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1477809457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 S CHURCH ST",
            "address_2": "SUITE 115",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182017605",
            "telephone_number": "570-497-4766",
            "fax_number": "570-245-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S CHURCH ST",
            "address_2": "SUITE 115",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182017605",
            "telephone_number": "570-497-4766",
            "fax_number": "570-245-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE WITHIN WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "THIBEAULT",
        "authorized_official_first_name": "LEA",
        "authorized_official_middle_name": "R.M",
        "authorized_official_title_or_position": "CO- OWNER",
        "authorized_official_telephone_number": "570-497-4766",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005879L",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG003571",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG003195",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.