Passyunk Chiropractic & Rehabilitation

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

DC007852L Issued in PA

Legal business name

PASSYUNK CHIROPRACTIC & REHABILITATION

Practice address

1509 E Passyunk Ave
Philadelphia, PA 19147-6322

Phone

(215) 467-1143

Fax

(215) 467-1599

NPI assigned

Jun 24, 2009

Organization subpart

No

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

Authorized official

Name

Michael Heverin

Title

Billing Manager

Phone

(215) 579-7374

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1699903005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22705",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191102705",
            "telephone_number": "215-579-7374",
            "fax_number": "215-579-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 E PASSYUNK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191476322",
            "telephone_number": "215-467-1143",
            "fax_number": "215-467-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSYUNK CHIROPRACTIC & REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "HEVERIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "215-579-7374"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "DC007852L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "061389",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Passion of Hearts Homecare LLC
• Passionate Padgetts Home Care Agency
• Jesse Evan Passman
• Passport Health Holdings, LLC
• Mariah Passwaters-Stamper, PA-C
• Passyunk Medical Associates PC
• Paige Michelle Pastalove, AU.D
• Adam Seth Pasternack, DO
• Widmayar Pasteur
• Sarah Pastore, LCSW

• Rehabilitation Chiropractor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Rehabilitation Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.