Sport and Spine Chiropractic Rehab

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009059 Issued in PA

Legal business name

SPORT AND SPINE CHIROPRACTIC REHAB

Practice address

8 N Grove St
Suite B
Lock Haven, PA 17745-3547

Phone

(570) 858-5645

Fax

(570) 858-5687

NPI assigned

Oct 10, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jason Madigan, D.C.NPI 1548242548

Title

President

Phone

(570) 858-5645

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

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

• Jason T Madigan, DC

  • Chiropractor
  • Lock Haven, PA
  • NPI 1548242548
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1861829632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 N GROVE ST",
            "address_2": "SUITE B",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177453547",
            "telephone_number": "570-858-5645",
            "fax_number": "570-858-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 N GROVE ST",
            "address_2": "SUITE B",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177453547",
            "telephone_number": "570-858-5645",
            "fax_number": "570-858-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT AND SPINE CHIROPRACTIC REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "MADIGAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-858-5645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Elizabeth Smith, PT
• Delilah Kathryn Snook
• Riley Snyder
• Carmen Spinney, M.D.
• Elliott Splain
• James M Stahl, PA
• Ryan Stahl
• Grace Marie Stetter
• Stephen Streator
• Richard G Stuempfle, D.P.M.

• Chiropractor in Lock Haven, PA
• Providers in Lock Haven, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.