Victory Chiropractic and Performance LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

VICTORY CHIROPRACTIC AND PERFORMANCE LLC

Practice address

1404 Manoa Rd
Wynnewood, PA 19096-3208

Phone

(484) 443-3673

Fax

(215) 770-0830

NPI assigned

Oct 19, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Victory Anyiam, DR

Title

Owner

Phone

(484) 641-7171

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Joseph Lacava III, D.C.

  • Chiropractor
  • Fort Washington, PA
  • NPI 1811293186
  NPD (past)
• David Howard Levine, D.C.

  • Chiropractor
  • Wynnewood, PA
  • NPI 1922195247
  NPD (past)

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1992468631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11",
            "city": "MORTON",
            "state": "PA",
            "postal_code": "190700011",
            "telephone_number": "484-641-7171",
            "fax_number": "215-770-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 MANOA RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963208",
            "telephone_number": "484-443-3673",
            "fax_number": "215-770-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY CHIROPRACTIC AND PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "ANYIAM",
        "authorized_official_first_name": "VICTORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-641-7171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DR"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Marie Vaughn, M.D.
• David N Vegari, MD
• Teena Dein Verbit, BSN, RN,MS,CRNP
• Tanu Priya Verma, MD
• Stephen J Vernille, D.C.
• Victory Primary Care LLC
• Oskari Pekka Johannes Vihersaari, MD
• Catherine Ann Quijano Vivo, PA
• Robin J Vogel, PA-C
• Srinivas Vommi, MD

• Chiropractor in Wynnewood, PA
• Providers in Wynnewood, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.