Organization Active NPI

Movement Chiropractic PLLC

  • Chiropractor
  • Olyphant, PA
National Provider Identifier
1710570403
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MOVEMENT CHIROPRACTIC PLLC
Practice address
1452 E Lackawanna St
Olyphant, PA 18447-2151
Phone
(570) 291-8397
Fax
(570) 754-9768
NPI assigned
Feb 15, 2021
Last updated
Oct 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Lianna G Repecki, DC
Title
Owner
Phone
(570) 291-8397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1452 E Lackawanna St
Olyphant, PA 18447-2151

Mailing address

1452 E Lackawanna St
Olyphant, PA 18447-2151
Phone (570) 291-8397

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250421001023 PA Part B Supplier - Clinic/Group Practice 1355866518 Receives reassigned benefits from 1 practitioner
Practice locations: Olyphant, PA

National Provider Directory

National Provider Directory

Locations

240 Terrace Dr
Blakely, PA 18447
Phone (570) 291-8397

1452 E Lackawanna St
Olyphant, PA 18447
Phone (570) 291-8397

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": "1613347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1710570403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 E LACKAWANNA ST",
            "city": "OLYPHANT",
            "state": "PA",
            "postal_code": "184472151",
            "telephone_number": "570-291-8397",
            "fax_number": "570-754-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1452 E LACKAWANNA ST",
            "city": "OLYPHANT",
            "state": "PA",
            "postal_code": "184472151",
            "telephone_number": "570-291-8397",
            "fax_number": "570-754-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVEMENT CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-15",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "REPECKI",
        "authorized_official_first_name": "LIANNA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-291-8397",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olyphant, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.