CHIROPRACTIC SPINE CENTER IV
NPI 1063469740
Chiropractor - Rehabilitation in Wayne, PA
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
Specialties & Licenses 2
Group Practice 1
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)
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.