Active NPI
Wilkes Barre Scranton Chiropractic and Rehabilitation
- Physical Medicine & Rehabilitation Physician
- Scranton, PA
National Provider Identifier
1811549009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- WILKES BARRE SCRANTON CHIROPRACTIC AND REHABILITATION
- Practice address
- 3 W Olive St Ste 210
Scranton, PA 18508-2574 - Phone
- (570) 451-3404
- Fax
- (570) 451-3407
- NPI assigned
- Jul 9, 2019
- 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
- Jessica Werner
- Title
- Practice Manager
- Phone
- (570) 660-8914
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary | ||
| Physical Therapist | 225100000X |
Addresses
Primary practice location
3 W Olive St Ste 210
Scranton, PA 18508-2574
Mailing address
98 Grove St Ste 3
Dupont, PA 18641-2228
Phone (570) 431-3404
Other names 1
- UNO Fitnes
National Provider Directory
National Provider Directory- Tax ID family
- Wilkes Barre Scranton Chiropractic and Rehabilitation
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Medicine & Rehabilitation Physician
- Dupont, PA
- NPI 1568874568
-
- Physical Medicine & Rehabilitation Physician
- Scranton, PA
- NPI 1841842051
Locations
3 W Olive St
Ste 210
Scranton, PA 18508
Phone (570) 451-3404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562630400000",
"number": "1811549009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 GROVE ST STE 3",
"city": "DUPONT",
"state": "PA",
"postal_code": "186412228",
"telephone_number": "570-431-3404",
"fax_number": "570-451-3407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 W OLIVE ST STE 210",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185082574",
"telephone_number": "570-451-3404",
"fax_number": "570-451-3407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILKES BARRE SCRANTON CHIROPRACTIC AND REHABILITATION",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-09",
"last_updated": "2019-07-09",
"status": "A",
"authorized_official_last_name": "WERNER",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "570-660-8914"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "UNO Fitnes",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.