Organization Active NPI

Plexus Chiropractic and Rehabilitation LLC

  • Rehabilitation Chiropractor
  • Monroeville, PA
National Provider Identifier
1497282271
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC011228 Issued in PA
Legal business name
PLEXUS CHIROPRACTIC AND REHABILITATION LLC
Practice address
4508 Broadway Blvd
Monroeville, PA 15146-4745
Phone
(724) 961-0678
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Dr. Ted Allen Matthews III, D.C.
Title
Owner/Ceo
Phone
(724) 961-0678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X DC011228 PA Primary

Addresses

Primary practice location

4508 Broadway Blvd
Monroeville, PA 15146-4745

Mailing address

4508 Broadway Blvd
Monroeville, PA 15146-4745
Phone (724) 961-0678

National Provider Directory

National Provider Directory

Locations

4508 Broadway Blvd
Monroeville, PA 15146
Phone (724) 961-0678

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1497282271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4508 BROADWAY BLVD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151464745",
            "telephone_number": "724-961-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 BROADWAY BLVD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151464745",
            "telephone_number": "724-961-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEXUS CHIROPRACTIC AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "724-961-0678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "DC011228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.