Active NPI
Thomas William Petrisko, DC
- Chiropractor
- McKees Rocks, PA
National Provider Identifier
1952464067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC002430-L
- Practice address
- 6091 Steubenville Pike
MC Kees Rocks, PA 15136-1336 - Phone
- (412) 787-3320
- Fax
- (412) 494-9579
- NPI assigned
- Dec 19, 2006
- Last updated
- May 21, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC002430-L | PA | Primary |
Addresses
Primary practice location
6091 Steubenville Pike
MC Kees Rocks, PA 15136-1336
Mailing address
6091 Steubenville Pike
MC Kees Rocks, PA 15136-1336
Phone (412) 787-3320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC002430-L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Chiropractic Centers, Inc. | Chiropractor | Past | Accepting new patients |
| Family Chiropractic Center of Pittsburgh, LLC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- McKees Rocks, PA
- NPI 1457476236
-
- Chiropractor
- Pittsburgh, PA
- NPI 1689087546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242864000000",
"number": "1952464067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6091 STEUBENVILLE PIKE",
"city": "MC KEES ROCKS",
"state": "PA",
"postal_code": "151361336",
"telephone_number": "412-787-3320",
"fax_number": "412-494-9579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6091 STEUBENVILLE PIKE",
"city": "MC KEES ROCKS",
"state": "PA",
"postal_code": "151361336",
"telephone_number": "412-787-3320",
"fax_number": "412-494-9579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRISKO",
"first_name": "THOMAS",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2009-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC002430-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McKees Rocks, PA
- Patricia J. Pecori, MSN, CRNP
- Amanda Pegher, LPC
- Carolyn Marie Penco, LCSW
- Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy # 00258)
- Jordan Pestok, PHARMD
- Mary Katherine Pfeffer, MPT, ATC
- Physical Therapy & Health Center, Inc. (Robinson Physical Therapy & Health Center, Inc.)
- Jaime Lynn Piccola, NP-C
- Pittsburgh Heart & Vascular PC
- Staci Elizabeth Plascjak, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.