Organization Active NPI

Wilkes Barre Scranton Chiropractic and Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Scranton, PA
National Provider Identifier
1841842051
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
WILKES BARRE SCRANTON CHIROPRACTIC AND REHABILITATION
Practice address
1141 Moosic St Ste 3
Scranton, PA 18505-2105
Phone
(570) 451-3404
Fax
(570) 451-3407
NPI assigned
Jul 9, 2019
Last updated
Jul 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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) 606-8914

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X
Physical Medicine & Rehabilitation Physician 208100000X Primary
Physical Therapist 225100000X

Addresses

Primary practice location

1141 Moosic St Ste 3
Scranton, PA 18505-2105

Mailing address

98 Grove St Ste 3
Dupont, PA 18641-2228
Phone (570) 451-3404

Other names 1

  • Lake Scranton Urgent Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Wilkes Barre Scranton Chiropractic and Rehabilitation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1141 Moosic St
Ste 3
Scranton, PA 18505
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": "1841842051",
    "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": "570-451-3404",
            "fax_number": "570-451-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 MOOSIC ST STE 3",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185052105",
            "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": "570-606-8914"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Scranton Urgent Care",
            "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.

Verify at the official NPI Registry.