Organization Active NPI

Next Level Spine and Sports Injury Center, LLC

  • Rehabilitation Chiropractor
  • Sewickley, PA
National Provider Identifier
1902125404
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
NEXT LEVEL SPINE AND SPORTS INJURY CENTER, LLC
Practice address
2605 Nicholson Rd Ste 3120
Sewickley, PA 15143-7608
Phone
(724) 719-2900
Fax
(724) 719-2901
NPI assigned
May 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Authorized official

Name
Dr. Justin D Scott, D.C.NPI 1386967883
Title
President
Phone
(814) 397-7704

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
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

2605 Nicholson Rd Ste 3120
Sewickley, PA 15143-7608

Mailing address

2605 Nicholson Rd Ste 3120
Sewickley, PA 15143-7608
Phone (724) 719-2900

Other practice location 1

2908 Smallman St
Pittsburgh, PA 15201-1523
Phone (724) 719-2900

Other practice location 2

439 Washington Rd
Pittsburgh, PA 15228-2802
Phone (724) 719-2900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130605000087 PA Part B Supplier - Clinic/Group Practice 2961640834 Receives reassigned benefits from 19 practitioners
Practice locations: Pittsburgh, PA; Sewickley, PA; Mars, PA

National Provider Directory

National Provider Directory

Locations

2908 Smallman St
Pittsburgh, PA 15201
Phone (724) 719-2900

439 Washington Rd
Pittsburgh, PA 15228
Phone (724) 719-2900

2908 Smallman St
Ste 3130
Pittsburgh, PA 15201

2605 Nicholson Rd
Ste 3130
Sewickley, PA 15143

2605 Nicholson Rd
Ste 3120
Sewickley, PA 15143
Phone (724) 719-2900

2402 Nicholson Rd
Ste 103
Sewickley, PA 15143
Phone (724) 719-2900

2402 Nicholson Rd
Unit 3
Sewickley, PA 15143

8500 Brooktree Rd
Ste 305
Wexford, PA 15090
Phone (724) 719-2900

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1902125404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 NICHOLSON RD STE 3120",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151437608",
            "telephone_number": "724-719-2900",
            "fax_number": "724-719-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 NICHOLSON RD STE 3120",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151437608",
            "telephone_number": "724-719-2900",
            "fax_number": "724-719-2901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2908 Smallman St",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152011523",
            "country_code": "US",
            "telephone_number": "724-719-2900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "439 Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152282802",
            "country_code": "US",
            "telephone_number": "724-719-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEXT LEVEL SPINE AND SPORTS INJURY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2022-10-10",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-397-7704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.