Active NPI
Healthbridge Wynnewood LLC
- Chiropractor
- Wynnewood, PA
National Provider Identifier
1912562455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- HEALTHBRIDGE WYNNEWOOD LLC
- Doing business as
- Healthbridge Chiropractic
- Practice address
- The Lankenau Medical Office Building -East
100 Lancaster Avenue Suite 353
Wynnewood, PA 19096-3433 - Phone
- (610) 228-2820
- Fax
- (610) 228-2218
- NPI assigned
- May 9, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna L. Staton
- Title
- Operations Manager
- Phone
- (215) 782-3891
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
The Lankenau Medical Office Building -East
100 Lancaster Avenue Suite 353
Wynnewood, PA 19096-3433
Mailing address
PO Box 8918
Elkins Park, PA 19027-8918
Other names 2
- Healthbridge Chiropractic
- Healthbridge Lankenau, LLC
National Provider Directory
National Provider DirectoryLocations
100 E Lancaster Ave
Ofc
Wynnewood, PA 19096
Phone (610) 228-2820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568246400000",
"number": "1912562455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8918",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190278918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "THE LANKENAU MEDICAL OFFICE BUILDING -EAST",
"address_2": "100 LANCASTER AVENUE SUITE 353",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963433",
"telephone_number": "610-228-2820",
"fax_number": "610-228-2218"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHBRIDGE WYNNEWOOD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-09",
"last_updated": "2019-09-12",
"status": "A",
"authorized_official_last_name": "STATON",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "215-782-3891"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Healthbridge Chiropractic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Healthbridge Lankenau, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Wynnewood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.