Northeast Chiropractic Bodyshop, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC008795 Issued in PA

Legal business name

NORTHEAST CHIROPRACTIC BODYSHOP, P.C.

Practice address

1619 Grant Ave Ste 1
Philadelphia, PA 19115-3162

Phone

(267) 969-0082

Fax

(267) 686-8606

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sean M. Epstein, D.C.NPI 1992744320

Title

President

Phone

(267) 969-0082

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

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

• Sean Mathew Epstein, D.C.

  • Chiropractor
  • Philadelphia, PA
  • NPI 1992744320
  Medicare reassignment NPD Authorized official
• David R Tucker, D.C.

  • Chiropractor
  • Langhorne, PA
  • NPI 1811986953
  NPD (past)
• Scott Willis McCormick, DC

  • Chiropractor
  • Marietta, GA
  • NPI 1467566570
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1497847404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 GRANT AVE STE 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153162",
            "telephone_number": "267-969-0082",
            "fax_number": "267-686-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 GRANT AVE STE 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153162",
            "telephone_number": "267-969-0082",
            "fax_number": "267-686-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST CHIROPRACTIC BODYSHOP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "EPSTEIN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-969-0082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Adult Day Care Inc.
• Northeast Aesthetic Group LLC
• Northeast Aqua and Physical Therapy Center Inc
• Northeast Behavioral Medicine Inc.
• Northeast Chiropractic Associates, P.C.
• Northeast Community Center for Mental Health & Mental Retardation
• Northeast Community Center for Mental Health & Mental Retardation
• Northeast Community Center for Mental Health & Mental Retardation
• Northeast Community Center for Mental Health & Mental Retardation
• Northeast Community Center for Mental Health & Mental Retardation

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.