NPIMap

Organization Active NPI

JT Wellness

  • Chiropractor
  • Dunmore, PA
National Provider Identifier
1538512322
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011176 Issued in PA
Legal business name
JT WELLNESS
Practice address
439 E Drinker St
Dunmore, PA 18512-2483
Phone
(570) 430-7943
NPI assigned
Jul 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Authorized official

Name
Dr. Taylor Perry, D.C.NPI 1770936544
Title
LLC Member
Phone
(570) 430-7943

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC011175 PA
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC011176 PA Primary

Addresses

Primary practice location

439 E Drinker St
Dunmore, PA 18512-2483

Mailing address

439 E Drinker St
Dunmore, PA 18512-2483
Phone (570) 955-5435

Other names 1

  • Dunmore Family Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161025002252 PA Part B Supplier - Clinic/Group Practice 0345528402 Receives reassigned benefits from 2 practitioners
Practice locations: Dunmore, PA

National Provider Directory

National Provider Directory

Locations

439 E Drinker St
Dunmore, PA 18512
Phone (262) 470-0617

439 E Drinker St
Fl 1
Dunmore, PA 18512
Phone (570) 430-7943

Practitioners & affiliated clinicians

Practitioners 3

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": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1538512322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 E DRINKER ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122483",
            "telephone_number": "570-955-5435",
            "fax_number": "570-955-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 E DRINKER ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122483",
            "telephone_number": "570-430-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JT WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "570-430-7943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011175",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dunmore Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dunmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.