1. Home
  2. Directory
  3. Pennsylvania
  4. Hatboro
  5. Chiropractor
  6. NPI Profile

RADIANT LIFE CHIROPRACTIC LLC
NPI 1164872156
Chiropractor in Hatboro, PA

Active since June 21, 2016
319 W COUNTY LINE RD STE 1, HATBORO, PA 19040(215) 259-5100(484) 845-3177 Get Directions Write a Review

NPPES record last updated: January 3, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 3, 2021, Jun 21, 2016 (2 updates tracked since 2016).

About Radiant Life Chiropractic Llc NPPES

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

RADIANT LIFE CHIROPRACTIC LLC (NPI 1164872156) is a healthcare organization registered as a chiropractor in Hatboro, Pennsylvania and active in the NPI registry since June 2016. The organization lists Andrew Gerald Agasar, Manager, as its authorized official.

NPPES Registry Identity

NPI1164872156
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameRADIANT LIFE CHIROPRACTIC LLC
Location Address319 W COUNTY LINE RD STE 1Hatboro, PA 19040-1605
Mailing Address319 W County Line Rd Ste 1Hatboro, PA 19040-1605 · (215) 259-5100 · Fax (484) 845-3177
Phone(215) 259-5100
Fax(484) 845-3177
Organization SubpartNo
Authorized OfficialAndrew Gerald AgasarManager · (215) 259-5100
Enumeration DateJune 21, 2016
Last NPPES UpdateJanuary 3, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2021
✔ NPI 1164872156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in PA · DC011154
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.
319 W COUNTY LINE RD STE 1, Hatboro, PA 19040
Open in Google Maps ↗

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)

Radiant Life Chiropractic Llc 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 Radiant Life Chiropractic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Andrew Agasar, D.C.
Chiropractic
NPI 1841640273
319 W COUNTY LINE RD
Hatboro, PA 19040
(215) 259-5100
✔ 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 Radiant Life Chiropractic LLC's NPI number?

The NPI number for Radiant Life Chiropractic LLC is 1164872156. It was assigned to this organization in the NPPES registry on June 21, 2016.

Where is Radiant Life Chiropractic LLC located?

Radiant Life Chiropractic LLC is located at 319 W County Line Rd Ste 1, Hatboro, PA 19040. The listed phone number is (215) 259-5100.

What is Radiant Life Chiropractic LLC's specialty?

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

Is Radiant Life Chiropractic LLC enrolled in Medicare?

Yes. Radiant Life Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Radiant Life Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Radiant Life Chiropractic LLC. 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 Radiant Life Chiropractic LLC was last updated on January 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.