Organization Active NPI

Mattia Chiropratic PC

  • Chiropractor
  • Elkins Park, PA
National Provider Identifier
1720097488
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006043L Issued in PA
Legal business name
MATTIA CHIROPRATIC PC
Practice address
712 Township Line Road
Elkins Park, PA 19027-2148
Phone
(215) 886-3773
Fax
(215) 886-3747
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Celeste Anne Mattia, DCNPI 1255534038
Title
Chiropractor Office Manager
Phone
(215) 886-3773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC006043L PA Primary

Addresses

Primary practice location

712 Township Line Road
Elkins Park, PA 19027-2148

Mailing address

712 Township Line Road
Elkins Park, PA 19027-2148
Phone (215) 886-3773

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720097488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 TOWNSHIP LINE ROAD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272148",
            "telephone_number": "215-886-3773",
            "fax_number": "215-886-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 TOWNSHIP LINE ROAD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272148",
            "telephone_number": "215-886-3773",
            "fax_number": "215-886-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTIA CHIROPRATIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATTIA",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHIROPRACTOR  OFFICE MANAGER",
        "authorized_official_telephone_number": "215-886-3773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006043L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.