Organization Active NPI

Rehab One

  • Sports Physician Chiropractor
  • Hatfield, PA
National Provider Identifier
1760437651
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC003541L Issued in PA
Legal business name
REHAB ONE
Practice address
2420 Bethlehem Pike
Hatfield, PA 19440-1610
Phone
(215) 996-1334
NPI assigned
May 23, 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
Raymond Brozek, DC
Title
Chiropractor
Phone
(215) 996-1334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X DC003541L PA Primary

Addresses

Primary practice location

2420 Bethlehem Pike
Hatfield, PA 19440-1610

Mailing address

2420 Bethlehem Pike
Hatfield, PA 19440-1610
Phone (215) 996-1334

Other identifiers 1

IdentifierTypeStateIssuer
514166OtherPAHIGHMARK

National Provider Directory

National Provider Directory

Locations

2420 Bethlehem Pike
Hatfield, PA 19440
Phone (215) 822-6177

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760437651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 BETHLEHEM PIKE",
            "city": "HATFIELD",
            "state": "PA",
            "postal_code": "194401610",
            "telephone_number": "215-996-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 BETHLEHEM PIKE",
            "city": "HATFIELD",
            "state": "PA",
            "postal_code": "194401610",
            "telephone_number": "215-996-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB ONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROZEK",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "215-996-1334",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "PA",
            "license": "DC003541L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "514166",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatfield, 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.