NPIMap

Organization Active NPI

Wilkes Barre Scranton Chiropractic and Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Dupont, PA
National Provider Identifier
1568874568
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
WILKES BARRE SCRANTON CHIROPRACTIC AND REHABILITATION
Practice address
98 Grove St
Dupont, PA 18641-2228
Phone
(570) 451-3404
Fax
(570) 451-3407
NPI assigned
May 24, 2014
Last updated
Jul 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Authorized official

Name
Christopher Yonki, DCNPI 1992010680
Title
Owner/Chiropractor
Phone
(570) 451-3404

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
Chiropractor 111N00000X NU
Physical Medicine & Rehabilitation Physician 208100000X NU Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

98 Grove St
Dupont, PA 18641-2228

Mailing address

98 Grove St
Dupont, PA 18641-2228
Phone (570) 451-3404

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190116002363 PA Part B Supplier - Clinic/Group Practice 0446596167 Receives reassigned benefits from 6 practitioners
2 other NPIs on this enrollment
Practice locations: Dupont, PA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Wilkes Barre Scranton Chiropractic and Rehabilitation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1400889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1568874568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 GROVE ST",
            "city": "DUPONT",
            "state": "PA",
            "postal_code": "186412228",
            "telephone_number": "570-451-3404",
            "fax_number": "570-451-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 GROVE ST",
            "city": "DUPONT",
            "state": "PA",
            "postal_code": "186412228",
            "telephone_number": "570-451-3404",
            "fax_number": "570-451-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKES BARRE SCRANTON CHIROPRACTIC AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-24",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "YONKI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "570-451-3404",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dupont, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.