Garnet Valley Sport & Spine Chiropractic Center PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC008836 Issued in PA

Legal business name

GARNET VALLEY SPORT & SPINE CHIROPRACTIC CENTER PA

Practice address

3039 Foulk Rd
Garnet Valley, PA 19060-1701

Phone

(610) 361-0070

Fax

(610) 361-0071

NPI assigned

Feb 21, 2013

Last updated

Aug 5, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Martin, D.CNPI 1487692224

Title

Owner

Phone

(610) 361-0070

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Tax ID family

Absolute Health and Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Garnet Valley Sprot and Spine Chiropactic Ctr

  • Chiropractor
  • Garnet Valley, PA
  • NPI 1740305887
  NPD tax ID

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy A Martin, D.C.

  • Chiropractor
  • Boothwyn, PA
  • NPI 1487692224
  Medicare reassignment Care Compare group NPD Authorized official
• Mark Allen Clukey, D.C.

  • Chiropractor
  • Lock Haven, PA
  • NPI 1932238698
  Medicare reassignment Care Compare group NPD
• Stephanie Soto, D.C.

  • Chiropractor
  • Garnet Valley, PA
  • NPI 1235522848
  Medicare reassignment Care Compare group NPD
• Casey Mae Fouse, DC

  • Chiropractor
  • Wilmington, DE
  • NPI 1164792784
  NPD

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1841530243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3039 FOULK RD",
            "city": "GARNET VALLEY",
            "state": "PA",
            "postal_code": "190601701",
            "telephone_number": "610-361-0070",
            "fax_number": "610-361-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3039 FOULK RD",
            "city": "GARNET VALLEY",
            "state": "PA",
            "postal_code": "190601701",
            "telephone_number": "610-361-0070",
            "fax_number": "610-361-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARNET VALLEY SPORT & SPINE CHIROPRACTIC CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-361-0070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gianna Fazio, DPT
• Fean Physical Therapy LLC
• Bryan Arthur Fean, PT
• Lucretia Fitzpatrick, M.D.
• Diana Foresta, CCC-SLP
• Garnet Valley Sport & Spine Physical Medicine, Inc.
• Garnet Valley Sprot and Spine Chiropactic Ctr
• Alyssa Kathaleen Gavin, OCCUPATIONAL THERAPI
• Daniel Glackin
• Richard F Grunt, MD

• Chiropractor in Garnet Valley, PA
• Providers in Garnet Valley, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.