Organization Active NPI

JCR Integrative Wellness

Doing business as Jcriw

  • Health Service Clinic/Center
  • Moosic, PA
National Provider Identifier
1629898903
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
JCR INTEGRATIVE WELLNESS
Doing business as
Jcriw
Practice address
73 Montage Mountain Rd
Moosic, PA 18507-1751
Phone
(570) 702-5181
NPI assigned
Oct 11, 2024
Last updated
Oct 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Dr. Christine Richardson, DAC,LMT
Title
Owner/ Massage Therapist
Phone
(570) 702-5181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

73 Montage Mountain Rd
Moosic, PA 18507-1751

Mailing address

439 New Market St
Wilkes Barre, PA 18702-6424
Phone (570) 702-5181

Other names 1

  • JCRIW Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1629898903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 NEW MARKET ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026424",
            "telephone_number": "570-702-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 MONTAGE MOUNTAIN RD",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "185071751",
            "telephone_number": "570-702-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCR INTEGRATIVE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER/ MASSAGE THERAPIST",
        "authorized_official_telephone_number": "570-702-5181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DAC,LMT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JCRIW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moosic, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.