Organization Active NPI

North Broadway Chiropractic and Physical Therapy, PLLC

  • Chiropractor
  • Yonkers, NY
National Provider Identifier
1821620550
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NORTH BROADWAY CHIROPRACTIC AND PHYSICAL THERAPY, PLLC
Practice address
984 N Broadway RM L-09
Yonkers, NY 10701-1318
Phone
(914) 476-8600
NPI assigned
Feb 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Authorized official

Name
Marisa Kelly
Title
Medical Billing Supervisor
Phone
(914) 476-8600

Specialties & licenses 1

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

Addresses

Primary practice location

984 N Broadway RM L-09
Yonkers, NY 10701-1318

Mailing address

984 N Broadway RM L-09
Yonkers, NY 10701-1318
Phone (914) 476-8600

National Provider Directory

National Provider Directory

Locations

984 N Broadway
Ste L09
Yonkers, NY 10701
Phone (914) 233-5060

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1821620550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 N BROADWAY RM L-09",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011318",
            "telephone_number": "914-476-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 N BROADWAY RM L-09",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011318",
            "telephone_number": "914-476-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BROADWAY CHIROPRACTIC AND PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "MEDICAL BILLING SUPERVISOR",
        "authorized_official_telephone_number": "914-476-8600"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.