NPIMap

Organization Active NPI

Nathaniel a Reese DC PC

  • Chiropractor
  • Canonsburg, PA
National Provider Identifier
1598045544
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010323 Issued in PA
Legal business name
NATHANIEL A REESE DC PC
Practice address
113 Cavasina Dr
Suite 600
Canonsburg, PA 15317-1784
Phone
(724) 745-1533
Fax
(724) 745-3380
NPI assigned
Aug 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Authorized official

Name
Nathaniel A Reese, DC, PCNPI 1639485444
Title
President
Phone
(724) 745-1533

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC010323 PA Primary

Addresses

Primary practice location

113 Cavasina Dr
Suite 600
Canonsburg, PA 15317-1784

Mailing address

113 Cavasina Dr
Suite 600
Canonsburg, PA 15317-1784
Phone (724) 745-1533

Other names 1

  • Life in Motion Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110914000400 PA Part B Supplier - Clinic/Group Practice 1153592613 Receives reassigned benefits from 4 practitioners
Practice locations: Canonsburg, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1598045544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CAVASINA DR",
            "address_2": "SUITE 600",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171784",
            "telephone_number": "724-745-1533",
            "fax_number": "724-745-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CAVASINA DR",
            "address_2": "SUITE 600",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171784",
            "telephone_number": "724-745-1533",
            "fax_number": "724-745-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHANIEL A REESE DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-745-1533",
        "authorized_official_credential": "DC, PC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life in Motion Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canonsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.