FAMILY TREE CHIROPRACTIC, LLC (NPI# 1275837387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275837387 |
| Entity Type | Organization |
| Organization Name | FAMILY TREE CHIROPRACTIC, LLC |
| Practice Address |
904 Dawn Ave Ephrata PA 17522-1340 |
| Practice Telephone | 7177382555 |
| Practice Fax Number | 7177382557 |
| Mailing Telephone | 7177382555 |
| Mailing Fax Number | 7177382557 |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2015-05-26 |
| Authorized Official Name | DR. DAVID S PARKER (PRESIDENT) |
| Authorized Official Telephone | 7177382555 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NP0017X |
Chiropractor Specialization: Pediatric Chiropractor |
DC003403L | PA | Chiropractic Providers |
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
Chiropractic Providers | ||
| N | 111NX0100X |
Chiropractor Specialization: Occupational Health |
DC003403L | PA | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | DC003403L | PA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104062157 | Family Tree Chiropractic, LLC | Chiropractor | 231 Quandary Avenue, Flagler, CO 80815-0321 | 2008-12-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Family Tree Chiropractic, LLC | 404 High Street, Flagler, CO 80815 |
| Street Address |
904 DAWN AVE |
| City | EPHRATA |
| State | PA |
| Zip Code | 17522-1340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457471203 | David S Parker | Chiropractor | 904 Dawn Ave, Ephrata, PA 17522-1340 | 2007-03-29 |
| 1386253557 | Leah Elaine Balman | Massage Therapist | 904 Dawn Ave, Ephrata, PA 17522-1340 | 2020-07-23 |
| 1275197402 | Courtney N Metzler | Massage Therapist | 904 Dawn Ave, Ephrata, PA 17522-1340 | 2019-04-23 |
| 1437611506 | Judith N Martin | Massage Therapist | 904 Dawn Ave, Ephrata, PA 17522-1340 | 2019-04-05 |
| 1932667508 | Samuel Bradley Loyd | Massage Therapist | 904 Dawn Ave, Ephrata, PA 17522-1340 | 2019-03-03 |
| 1386192748 | Brooke Martin | Massage Therapist | 904 Dawn Ave, Ephrata, PA 17522-1340 | 2016-09-14 |
| 1942758230 | Carey Postell | Specialist | 904 Dawn Ave, Ephrata, PA 17522-1340 | 2016-09-14 |
| 1427352830 | John Andrew Keller Jr. | Massage Therapist | 904 Dawn Ave, Ephrata, PA 17522 | 2010-12-28 |
| 1396049896 | Aimee Jo Bernhardt | Massage Therapist | 904 Dawn Ave, Ephrata, PA 17522-1340 | 2010-12-27 |
| 1609179290 | Robert Glenn Kreider | Massage Therapist | 904 Dawn Ave, Ephrata, PA 17522-1340 | 2010-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427667336 | Indiju 4 Dental LLC | Clinic/Center | 4240 Oregeon Pk., Ephrata, PA 17522 | 2020-07-27 |
| 1134778251 | Anna Thornton | Pharmacist | Ephrata Outpatient Pharmacy-wellspan, 183 N. Reading Road, Suite 9, Ephrata, PA 17522 | 2019-09-11 |
| 1316320898 | Shivani Bista | Obstetrics & Gynecology | 175 Martin Ave Ste 125, Ephrata, PA 17522 | 2015-07-02 |
| 1336583475 | Ccjp, Inc. | In Home Supportive Care | 1060 S. State Street, Suite E, Ephrata, PA 17522 | 2013-04-19 |
| 1548503600 | Timothy Lawrence Basom | Physical Therapist | 136 E Lake St, Ephrata, PA 17522 | 2013-03-27 |
| 1316228406 | Cheryl L. Stephen | Nurse Practitioner | 466 N. Reading Rd, Suite 301, Ephrata, PA 17522 | 2011-09-01 |
| 1174833743 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 803 Oak Boulevard, Ephrata, PA 17522 | 2010-10-18 |
| 1487964953 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 957 Hammon Avenue, Ephrata, PA 17522 | 2010-10-18 |
| 1396957148 | Carl Richard Hankel | Nurse Practitioner | 4237 Oregon Pike, Worknet Occupational Medicine, Ephrata, PA 17522 | 2007-05-04 |
| 1396877726 | Regional Gastroenterology Associates of Lancaster, Ltd | Clinic/Center | 4140 Oregon Pike, Ephrata, PA 17522 | 2007-03-12 |
| Find all providers in zip 17522 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912204488 | Quad-state Chiropractic Clinic, LLC | Chiropractor | 1209b Division Hwy, Ephrata, PA 17522-8822 | 2011-02-18 |
| 1043498025 | James Mulvenna | Chiropractor | 1873 Division Hwy, Ephrata, PA 17522-8944 | 2008-02-01 |
| 1689855397 | Elanco Chiropractic & Rehabilitation Center, Inc. | Chiropractor | 1907 Division Hwy, Ephrata, PA 17522-8947 | 2007-11-21 |
| 1457471203 | David S Parker | Chiropractor | 904 Dawn Ave, Ephrata, PA 17522-1340 | 2007-03-29 |
| 1831228923 | Donna Breech Kost | Chiropractor | 1076 Division Hwy, Ephrata, PA 17522-8819 | 2007-03-05 |
| 1679611693 | Burkholder Chiropractic Clinic, P.C. | Chiropractor | 305 N Reading Rd, Ephrata, PA 17522-1653 | 2007-02-02 |
| 1508902669 | William Bryan Davis | Chiropractor | 1519 Basin St Sw, Ephrata, WA 98823-2135 | 2007-01-29 |
| 1578648010 | Robert Daniel Ross | Chiropractor | 523 1st Ave Nw, Ephrata, WA 98823-1501 | 2006-10-25 |
| 1255341574 | Gary Joe Greve | Chiropractor | 1907 Division Highway, Ephrata, PA 17522-8947 | 2006-08-09 |
| 1760417315 | Columbia Basin Chiropractic Care P.s. | Chiropractor | 51 Alder St Nw, Ephrata, WA 98823-1663 | 2006-07-12 |
| Find all providers in EPHRATA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.