RADIANCE CHIROPRACTIC
NPI 1417466384
Chiropractor in Canonsburg, PA
About Radiance Chiropractic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RADIANCE CHIROPRACTIC (NPI 1417466384) is a healthcare organization registered as a chiropractor in Canonsburg, Pennsylvania and active in the NPI registry since September 2017. The organization lists Laurel Gretz Pisciottano, Clinic Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Radiance Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Radiance Chiropractic, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Radiance Chiropractic's NPI number?
The NPI number for Radiance Chiropractic is 1417466384. It was assigned to this organization in the NPPES registry on September 23, 2017.
Where is Radiance Chiropractic located?
Radiance Chiropractic is located at 370 Southpointe Blvd Ste 100, Canonsburg, PA 15317. The listed phone number is (724) 942-4444.
What is Radiance Chiropractic's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Radiance Chiropractic enrolled in Medicare?
Yes. Radiance Chiropractic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Radiance Chiropractic?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Radiance Chiropractic. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Radiance Chiropractic was last updated on May 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Radiance Chiropractic · NPI 1417466384
Chiropractor organization in Canonsburg, Pennsylvania. Organization record, active in the CMS NPPES registry since September 23, 2017.
## Identity
- **NPI:** 1417466384 (Entity type: Organization)
- **Enumerated:** September 23, 2017
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Laurel Gretz Pisciottano, CLINIC DIRECTOR
## Practice location
- **Address:** 370 SOUTHPOINTE BLVD STE 100, Canonsburg, PA 15317-8572
- **Phone:** (724) 942-4444 · **Fax:** (724) 338-4483
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 22, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1417466384) · Data from the CMS NPPES public registry.