Individual provider Active NPI

Phoebe Katherine Kutterna, D.C.

  • Chiropractor
  • West Springfield, PA
National Provider Identifier
1891971941
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009899 Issued in PA
Practice address
4827 Crayton Rd
West Springfield, PA 16443-9746
Phone
(814) 273-0800
Fax
(814) 474-5589
NPI assigned
Jan 18, 2008
Last updated
Jun 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009899 PA Primary

Addresses

Primary practice location

4827 Crayton Rd
West Springfield, PA 16443-9746

Mailing address

7686 W Ridge Rd
P.O. Box 369
Fairview, PA 16415-1074
Phone (814) 474-5588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080426000044 PA Practitioner - Chiropractic 7012095342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4674 Avonia Rd
Fairview, PA 16415-1260
Phone (814) 474-5588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Chiropractic Center, LLC Chiropractor CurrentSince Jun 6, 2008 Accepting new patients
Progressive Chiropractic & Injury Ctr, PC Chiropractor Past Accepting new patients

Locations

4674 Avonia Rd
Fairview, PA 16415
Phone (814) 474-5588

7686 W Ridge Rd
Fairview, PA 16415
Phone (814) 474-5588

7686 W Ridge Rd
#369
Fairview, PA 16415
Phone (814) 474-5588

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1891971941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7686 W RIDGE RD",
            "address_2": "P.O. BOX 369",
            "city": "FAIRVIEW",
            "state": "PA",
            "postal_code": "164151074",
            "telephone_number": "814-474-5588",
            "fax_number": "814-474-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4827 CRAYTON RD",
            "city": "WEST SPRINGFIELD",
            "state": "PA",
            "postal_code": "164439746",
            "telephone_number": "814-273-0800",
            "fax_number": "814-474-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTTERNA",
        "first_name": "PHOEBE",
        "middle_name": "KATHERINE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.