Active NPI
Wilkes Barre Scranton Chiropractic and Rehabilitation
- Physical Medicine & Rehabilitation Physician
- Wilkes Barre, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- WILKES BARRE SCRANTON CHIROPRACTIC AND REHABILITATION
- Practice address
- 401 Coal St
Wilkes Barre, PA 18702-6626 - Phone
- (570) 451-3404
- NPI assigned
- Jan 18, 2019
- Last updated
- Jul 9, 2019
- Organization subpart
- Yes
- Parent organization
- WILKES BARRE SCRANTON CHIROPRACTIC AND REHABILITATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Yonki
- Title
- Owner
- Phone
- (570) 362-0165
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
401 Coal St
Wilkes Barre, PA 18702-6626
Mailing address
98 Grove St
Dupont, PA 18641-2228
Phone (570) 451-3404
Other names 1
- inside Odyssey Fitness Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190116002363 | PA | Part B Supplier - Clinic/Group Practice | 0446596167 |
Receives reassigned benefits from 6 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the 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.
-
- Physical Medicine & Rehabilitation Physician
- Dupont, PA
- NPI 1568874568
O20190116002363
-
- Physical Medicine & Rehabilitation Physician
- Kingston, PA
- NPI 1891269130
O20190116002363
National Provider Directory
National Provider Directory- Part of
- Wilkes Barre Scranton Chiropractic and Rehabilitation
Locations
258 Wyoming Ave
Kingston, PA 18704
Phone (570) 451-3404
401 Coal St
Wilkes Barre, PA 18702
Phone (570) 451-3404
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Chiropractor
- Dupont, PA
- NPI 1992010680
-
- Chiropractor
- Wilkes Barre TWP, PA
- NPI 1376407437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562630400000",
"number": "1619441003",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 COAL ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187026626",
"telephone_number": "570-451-3404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILKES BARRE SCRANTON CHIROPRACTIC AND REHABILITATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WILKES BARRE SCRANTON CHIROPRACTIC AND REHABILITATION",
"enumeration_date": "2019-01-18",
"last_updated": "2019-07-09",
"status": "A",
"authorized_official_last_name": "YONKI",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "570-362-0165"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "inside Odyssey Fitness Center",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "inside Odyssey Fitness Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Wilkes Barre, PA
- Wilkes Barre Hospital Company LLC (Wilkes Barre General Hospital)
- Wilkes Barre Hospital Company LLC (Wilkes Barre General Hospital)
- Wilkes Barre Hospital Company LLC (Wilkes Barre General Hospital)
- Wilkes Barre Hospital Company LLC (Wilkes Barre General Hospital)
- Wilkes Barre Imaging, LLC (Akumin)
- Wilkes Barre Skilled Nursing Services LLC (Heritage House)
- Wilkes Barre Sleep Solutions, LLC
- Wilkes Barre Vamc
- Wilkes Barre Vamc
- Wilkes Barre Veteran's Hospital
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.