Organization Active NPI

Allentown Health Services, LLC

Doing business as Associated Chiropractic Sports & Rehabilitation Clinic

  • Sports Physician Chiropractor
  • Whitehall, PA
National Provider Identifier
1629059886
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC003589L Issued in PA
Legal business name
ALLENTOWN HEALTH SERVICES, LLC
Doing business as
Associated Chiropractic Sports & Rehabilitation Clinic
Practice address
656 5TH St
Whitehall, PA 18052-5836
Phone
(610) 266-6111
Fax
(610) 266-6593
NPI assigned
Nov 7, 2005
Last updated
Dec 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Mrs. Kathy Perelli
Title
Manager
Phone
(610) 266-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X DC003589L PA Primary

Addresses

Primary practice location

656 5TH St
Whitehall, PA 18052-5836

Mailing address

656 5TH St
Whitehall, PA 18052-5836
Phone (610) 266-6111

Other names 1

  • Associated Chiropractic Sports & Rehabilitation Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080102000023 PA Part B Supplier - Clinic/Group Practice 2264512342 Receives reassigned benefits from 1 practitioner
Practice locations: Whitehall, PA

National Provider Directory

National Provider Directory

Locations

656 5th St
Whitehall, PA 18052
Phone (610) 266-4240

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.

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1629059886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 5TH ST",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180525836",
            "telephone_number": "610-266-6111",
            "fax_number": "610-266-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 5TH ST",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180525836",
            "telephone_number": "610-266-6111",
            "fax_number": "610-266-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLENTOWN HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "PERELLI",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "610-266-6111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "PA",
            "license": "DC003589L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated Chiropractic Sports & Rehabilitation Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whitehall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.