Radiance Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RADIANCE CHIROPRACTIC

Practice address

240 Conestoga Rd
Wayne, PA 19087-4748

Phone

(610) 688-3336

NPI assigned

Jul 29, 2006

Organization subpart

No

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

Authorized official

Name

Patricia Coughlin, DCNPI 1003019100

Title

Owner/Chiropractor

Phone

(610) 688-3336

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Patricia Coughlin, DC

  • Chiropractor
  • Wayne, PA
  • NPI 1003019100
  NPD (past) Authorized official

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780698126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 CONESTOGA RD",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190874748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 CONESTOGA RD",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190874748",
            "telephone_number": "610-688-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANCE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COUGHLIN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "610-688-3336",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3630520",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "3630520",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• PWS Wayne LLC
• Marissa Lauren Quach, MOT, OTR/L
• Quadrivium, Advancement in Home Infusion
• Tanya M. Qualls, LPC
• Veronica Raciti, RD
• Radnor Family Practice Professional Limited Liability Company
• Radnor Family Practice, PLLC, Dba Im Health
• Radnor Family Practice, PLLC, Dba Im Health
• Radnor Family Practice, PLLC, Dba Im Health
• Radnor Fire Company of Wayne

• Chiropractor in Wayne, PA
• Providers in Wayne, PA by specialty
• Chiropractor in Pennsylvania

• 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.