Organization Active NPI

Fieldhouse Wellness PC

  • Chiropractor
  • Malvern, PA
National Provider Identifier
1740579242
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC005865L Issued in PA
Legal business name
FIELDHOUSE WELLNESS PC
Practice address
255 Great Valley Pkwy
Suite 140
Malvern, PA 19355-1300
Phone
(610) 981-6400
Fax
(610) 981-6402
NPI assigned
Apr 5, 2011
Last updated
Apr 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Dr. Francis E Brady
Title
Owner
Phone
(610) 981-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC005865L PA Primary

Addresses

Primary practice location

255 Great Valley Pkwy
Suite 140
Malvern, PA 19355-1300

Mailing address

255 Great Valley Pkwy
Suite 140
Malvern, PA 19355-1300
Phone (610) 981-6400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1740579242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 GREAT VALLEY PKWY",
            "address_2": "SUITE 140",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551300",
            "telephone_number": "610-981-6400",
            "fax_number": "610-981-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 GREAT VALLEY PKWY",
            "address_2": "SUITE 140",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551300",
            "telephone_number": "610-981-6400",
            "fax_number": "610-981-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIELDHOUSE WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-981-6400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005865L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.