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BLACKLEDGE FAMILY CHIROPRACTIC, PC
NPI 1013162692
Chiropractor in Blakely, PA

Active since November 24, 2008
200 MAIN ST, 2ND FLOOR, BLAKELY, PA 18447(570) 383-4963(570) 383-4964 Get Directions Write a Review

NPPES record last updated: January 13, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Blackledge Family Chiropractic, Pc NPPES

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

BLACKLEDGE FAMILY CHIROPRACTIC, PC (NPI 1013162692) is a healthcare organization registered as a chiropractor in Blakely, Pennsylvania and active in the NPI registry since November 2008. The organization lists Paul D Blackledge, President / Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1013162692
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBLACKLEDGE FAMILY CHIROPRACTIC, PC
Location Address200 MAIN ST, 2ND FLOORBlakely, PA 18447-1241
Mailing AddressPo Box 271Peckville, PA 18452-0271 · (570) 383-4963 · Fax (570) 383-4964
Phone(570) 383-4963
Fax(570) 383-4964
Organization SubpartNo
Authorized OfficialPaul D BlackledgePresident / Chiropractor · (570) 383-4963
Enumeration DateNovember 24, 2008
Last NPPES UpdateJanuary 13, 2012
✔ NPI 1013162692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in PA · DC009663
Definition
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.
200 MAIN ST, Blakely, PA 18447
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blackledge Family Chiropractic, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Blackledge Family Chiropractic, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Paul Blackledge, D.C.
Chiropractic
NPI 1790968956
200 MAIN ST 2ND FLOOR
Blakely, PA 18447
(570) 383-4963
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blackledge Family Chiropractic, PC's NPI number?

The NPI number for Blackledge Family Chiropractic, PC is 1013162692. It was assigned to this organization in the NPPES registry on November 24, 2008.

Where is Blackledge Family Chiropractic, PC located?

Blackledge Family Chiropractic, PC is located at 200 Main St 2nd Floor, Blakely, PA 18447. The listed phone number is (570) 383-4963.

What is Blackledge Family Chiropractic, PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Blackledge Family Chiropractic, PC enrolled in Medicare?

Yes. Blackledge Family Chiropractic, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blackledge Family Chiropractic, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Blackledge Family Chiropractic, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Blackledge Family Chiropractic, PC was last updated on January 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.