NPIMap

Organization Active NPI

Spine & Sports Rehabilitation, Inc

Doing business as Spine and Sports Rehab

  • Chiropractor
  • Hummelstown, PA
National Provider Identifier
1821024027
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPINE & SPORTS REHABILITATION, INC
Doing business as
Spine and Sports Rehab
Practice address
619 E Main St
Hummelstown, PA 17036-1839
Phone
(717) 566-6000
Fax
(717) 566-6698
NPI assigned
Jun 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Authorized official

Name
Mr. Scott Stoner, CHIROPRACTORNPI 1487649034
Title
Owner
Phone
(717) 566-6000

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

619 E Main St
Hummelstown, PA 17036-1839

Mailing address

619 E Main St
Hummelstown, PA 17036-1839
Phone (717) 566-6000

Other identifiers 1

IdentifierTypeStateIssuer
02777800OtherPACAPITAL BLUE CROSS GRP#

Other names 1

  • Spine and Sports Rehab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050421000960 PA Part B Supplier - Clinic/Group Practice 3274571054 Receives reassigned benefits from 4 practitioners
Practice locations: Hummelstown, PA

National Provider Directory

National Provider Directory

Locations

619 E Main St
Hummelstown, PA 17036
Phone (707) 566-6000

106 S Hanover St
Hummelstown, PA 17036
Phone (717) 566-6000

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1821024027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 E MAIN ST",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170361839",
            "telephone_number": "717-566-6000",
            "fax_number": "717-566-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 E MAIN ST",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170361839",
            "telephone_number": "717-566-6000",
            "fax_number": "717-566-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & SPORTS REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "STONER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-566-6000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CHIROPRACTOR"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS GRP#",
            "identifier": "02777800",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine and Sports Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hummelstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.

Verify at the official NPI Registry.