DR. TIMOTHY B VYROSTEK DC CCSP
NPI 1003929308
Chiropractor - Sports Physician in Conneaut Lake, PA

Active since August 17, 2006PECOS Enrolled
10633 STATE HIGHWAY 18, CONNEAUT LAKE, PA 16316(814) 382-1970(814) 382-3619 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Timothy B Vyrostek Dc Ccsp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIMOTHY B VYROSTEK DC CCSP (NPI 1003929308) is an individual sports physician in Conneaut Lake, Pennsylvania, licensed in Pennsylvania (4038) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003929308
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameDR. TIMOTHY B VYROSTEKCredential: DC CCSP
Location Address10633 STATE HIGHWAY 18Conneaut Lake, PA 16316-3225
Mailing Address10633 State Highway 18Conneaut Lake, PA 16316-3225 · (814) 382-1970 · Fax (814) 382-3619
Fax(814) 382-3619
Sole ProprietorNo
Enumeration DateAugust 17, 2006
Last NPPES UpdateMay 3, 2023
NPPES CertifiedMay 3, 2023
NPI 1003929308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License Licensed in PA · 4038
Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

Also ListedChiropractorTaxonomy 111N00000X · License DC007097L (PA)
10633 STATE HIGHWAY 18, Conneaut Lake, PA 16316

Other Identifiers 3

Medicaid0016549110004PA
Other961159PA · Bcbs
Other205055PA · Upmc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Timothy B Vyrostek Dc Ccsp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
10633 STATE HIGHWAY 18
CONNEAUT LAKE, PA 16316

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003929308, enumerated as an "individual" on August 17, 2006.

The provider is located at 10633 STATE HIGHWAY 18 CONNEAUT LAKE, PA 16316 and the phone number is (814) 382-1970.

Chiropractor with taxonomy code 111NS0005X and a focus in Sports Physician.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.