Organization Active NPI

Tabor Chiropractic &Rehabilitation LLC

  • Rehabilitation Chiropractor
  • Philadelphia, PA
National Provider Identifier
1619121936
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC007418L Issued in PA
Legal business name
TABOR CHIROPRACTIC &REHABILITATION LLC
Practice address
1335 W Tabor Rd
Suite 306
Philadelphia, PA 19141-3038
Phone
(215) 549-5810
Fax
(215) 549-5869
NPI assigned
Nov 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Authorized official

Name
Mr. Steven M Bartasius, DO
Title
Owner/Dr.
Phone
(215) 549-5810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X DC007418L PA Primary

Addresses

Primary practice location

1335 W Tabor Rd
Suite 306
Philadelphia, PA 19141-3038

Mailing address

3 Hovtech Blvd
Mount Laurel, NJ 08054-6306
Phone (856) 235-0202

National Provider Directory

National Provider Directory

Locations

1335 W Tabor Rd
Ste 306
Philadelphia, PA 19141
Phone (215) 424-3411

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1619121936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HOVTECH BLVD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080546306",
            "telephone_number": "856-235-0202",
            "fax_number": "856-235-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 W TABOR RD",
            "address_2": "SUITE 306",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413038",
            "telephone_number": "215-549-5810",
            "fax_number": "215-549-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABOR CHIROPRACTIC &REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "BARTASIUS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DR.",
        "authorized_official_telephone_number": "215-549-5810",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "DC007418L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.