NPIMap

Organization Active NPI

Life in Motion Chiropractic and Wellness

  • Chiropractor
  • Ridgway, PA
National Provider Identifier
1871892836
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010897 Issued in PA
Legal business name
LIFE IN MOTION CHIROPRACTIC AND WELLNESS
Practice address
205 Main St
Ridgway, PA 15853-1015
Phone
(814) 772-6903
Fax
(585) 672-6179
NPI assigned
Mar 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Authorized official

Name
Dr. Sean Paul Konrad, DCNPI 1295960888
Title
Owner
Phone
(814) 772-6903

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: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X X0118007 NY
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC010897 PA Primary

Addresses

Primary practice location

205 Main St
Ridgway, PA 15853-1015

Mailing address

205 Main St
Ridgway, PA 15853-1015
Phone (814) 772-6903

National Provider Directory

National Provider Directory

Locations

205 Main St
Ridgway, PA 15853
Phone (814) 772-6903

Practitioners & affiliated clinicians

Practitioners 2

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": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1871892836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MAIN ST",
            "city": "RIDGWAY",
            "state": "PA",
            "postal_code": "158531015",
            "telephone_number": "814-772-6903",
            "fax_number": "585-672-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MAIN ST",
            "city": "RIDGWAY",
            "state": "PA",
            "postal_code": "158531015",
            "telephone_number": "814-772-6903",
            "fax_number": "585-672-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE IN MOTION CHIROPRACTIC AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "KONRAD",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-772-6903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0118007",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgway, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.