CHIROPRACTIC SPINE CENTER IV
NPI 1063469740
Chiropractor - Rehabilitation in Wayne, PA

Active since May 28, 2006
744 W LANCASTER AVE, SUITE 105, WAYNE, PA 19087(610) 254-8200(610) 254-8263 Get Directions Write a Review

NPPES record last updated: June 14, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Chiropractic Spine Center Iv NPPES

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

CHIROPRACTIC SPINE CENTER IV (NPI 1063469740) is a healthcare organization registered as a rehabilitation in Wayne, Pennsylvania and active in the NPI registry since May 2006. The organization lists Theodore Glazer, President, as its authorized official.

NPPES Registry Identity

NPI1063469740
Entity TypeOrganization
Primary Taxonomy111NR0400X
Legal Business NameCHIROPRACTIC SPINE CENTER IV
Location Address744 W LANCASTER AVE, SUITE 105Wayne, PA 19087-2523
Mailing Address744 W Lancaster Ave, Suite 105Wayne, PA 19087-2523 · (610) 254-8200 · Fax (610) 254-8263
Fax(610) 254-8263
Organization SubpartNo
Authorized OfficialTheodore GlazerPresident · (610) 254-8200
Enumeration DateMay 28, 2006
Last NPPES UpdateJune 14, 2016
✔ NPI 1063469740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractor · RehabilitationChiropractic Providers
Taxonomy Code111NR0400X
License✔ Licensed in PA · DC007347L
Definition
Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.
Also ListedPhysical TherapistTaxonomy 225100000X · License AJ-007347-L (PA)
744 W LANCASTER AVE, Wayne, PA 19087

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Chiropractic Spine Center Iv 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 Chiropractic Spine Center IV, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1750344867
418 E LANCASTER AVE
Wayne, PA 19087
(610) 254-8200
✔ Accepts Medicare1.8 mi

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 Chiropractic Spine Center IV's NPI number?

The NPI number for Chiropractic Spine Center IV is 1063469740. It was assigned to this organization in the NPPES registry on May 28, 2006.

Where is Chiropractic Spine Center IV located?

Chiropractic Spine Center IV is located at 744 W Lancaster Ave Suite 105, Wayne, PA 19087. The listed phone number is (610) 254-8200.

What is Chiropractic Spine Center IV's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Rehabilitation, with taxonomy code 111NR0400X.

Is Chiropractic Spine Center IV enrolled in Medicare?

Yes. Chiropractic Spine Center IV is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chiropractic Spine Center IV?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Chiropractic Spine Center IV. 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 Chiropractic Spine Center IV was last updated on June 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.