Individual provider Active NPI

Jessica Erin Wimbish, D.C.

  • Chiropractor
  • Allentown, PA
National Provider Identifier
1962776757
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010534 Issued in PA
Practice address
1403 N Cedar Crest Blvd Ste 160
Allentown, PA 18104-2331
Phone
(610) 390-4589
Fax
(610) 351-3971
NPI assigned
Feb 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X AJ010326 PA
Chiropractor 111N00000X DC010534 PA Primary

Addresses

Primary practice location

1403 N Cedar Crest Blvd Ste 160
Allentown, PA 18104-2331

Mailing address

119 Lone LN
Allentown, PA 18104-9538
Phone (610) 390-4589

Other practice location 1

119 Lone Ln
Allentown, PA 18104-9538
Phone (610) 390-4589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120515000017 PA Practitioner - ChiropracticPractitioner - Sports Medicine 8224291026 Practice locations: Allentown, PA

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Sports Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

119 Lone LN
Allentown, PA 18104-9538
Phone (610) 390-4589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AJ010326PAMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stacey L. Jones, DC Chiropractor CurrentSince Feb 25, 2024 Accepting new patients
Rehabplus, P.C. Chiropractor Past Accepting new patients

Locations

1403 N Cedar Crest Blvd
Ste 160
Allentown, PA 18104
Phone (610) 390-4589

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1962776757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 LONE LN",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049538",
            "telephone_number": "610-390-4589",
            "fax_number": "610-748-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 N CEDAR CREST BLVD STE 160",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042331",
            "telephone_number": "610-390-4589",
            "fax_number": "610-351-3971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Lone Ln",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181049538",
            "country_code": "US",
            "telephone_number": "610-390-4589",
            "fax_number": "610-748-4017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIMBISH",
        "first_name": "JESSICA",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-27",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "AJ010326",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.