Organization Active NPI

Lifeforce Chiropractic Incorporated

  • Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1740373943
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LIFEFORCE CHIROPRACTIC INCORPORATED
Practice address
5400 Keeport Dr
Pittsburgh, PA 15236-3006
Phone
(412) 655-8171
Fax
(412) 655-7232
NPI assigned
Oct 2, 2006
Last updated
Apr 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Jeffrey Guy Ruscitto, D.C.NPI 1669565859
Title
Owner
Phone
(412) 655-8171

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

5400 Keeport Dr
Pittsburgh, PA 15236-3006

Mailing address

5400 Keeport Dr
Pittsburgh, PA 15236-3006
Phone (412) 655-8171

Other identifiers 2

IdentifierTypeStateIssuer
091346OtherKEYSTONE HEALTH PLAN WEST
419412OtherHEALTH AMERICA/ASSURANCE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050412000721 PA Part B Supplier - Clinic/Group Practice 9537106588 Receives reassigned benefits from 2 practitioners
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

125 Knoedler Rd
Pittsburgh, PA 15236
Phone (412) 655-8171

Practitioners & affiliated clinicians

Practitioners 5

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1740373943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 KEEPORT DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152363006",
            "telephone_number": "412-655-8171",
            "fax_number": "412-655-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 KEEPORT DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152363006",
            "telephone_number": "412-655-8171",
            "fax_number": "412-655-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEFORCE CHIROPRACTIC INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "RUSCITTO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "GUY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-655-8171",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN WEST",
            "identifier": "091346",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA/ASSURANCE",
            "identifier": "419412",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.