Active NPI
Back to Life Chiropractic, LLC
- Chiropractor
- Gibsonia, PA
National Provider Identifier
1790209278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-006643-L
- Legal business name
- BACK TO LIFE CHIROPRACTIC, LLC
- Practice address
- 4358 Gibsonia Rd Ste G
Gibsonia, PA 15044-9384 - Phone
- (724) 444-1960
- Fax
- (724) 444-1961
- NPI assigned
- Jul 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph B Tsai, DC
- Title
- Owner
- Phone
- (724) 444-1960
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-006643-L | PA | Primary |
Addresses
Primary practice location
4358 Gibsonia Rd Ste G
Gibsonia, PA 15044-9384
Mailing address
4358 Gibsonia Rd Ste G
Gibsonia, PA 15044-9384
Phone (724) 444-1960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4358 Gibsonia Rd
Ste G
Gibsonia, PA 15044
Phone (724) 444-1960
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Gibsonia, PA
- NPI 1699837161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1790209278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4358 GIBSONIA RD STE G",
"city": "GIBSONIA",
"state": "PA",
"postal_code": "150449384",
"telephone_number": "724-444-1960",
"fax_number": "724-444-1961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4358 GIBSONIA RD STE G",
"city": "GIBSONIA",
"state": "PA",
"postal_code": "150449384",
"telephone_number": "724-444-1960",
"fax_number": "724-444-1961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BACK TO LIFE CHIROPRACTIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-27",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "TSAI",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "724-444-1960",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "PA",
"license": "DC-006643-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gibsonia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.