FAMILY & SPORTS CHIROPRACTIC, PC
NPI 1780942557
Chiropractor in Mount Pocono, PA

Active since April 30, 2012
18 FORK ST, MOUNT POCONO, PA 18344(570) 839-9402(570) 839-9473 Get Directions Write a Review

NPPES record last updated: April 30, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Family & Sports Chiropractic, Pc NPPES

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

FAMILY & SPORTS CHIROPRACTIC, PC (NPI 1780942557) is a healthcare organization registered as a chiropractor in Mount Pocono, Pennsylvania and active in the NPI registry since April 2012. The organization lists Richard Vincent Simeone, Owner, as its authorized official.

NPPES Registry Identity

NPI1780942557
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameFAMILY & SPORTS CHIROPRACTIC, PC
Location Address18 FORK STMount Pocono, PA 18344-1202
Mailing Address18 Fork StMount Pocono, PA 18344-1202 · (570) 839-9402 · Fax (570) 839-9473
Fax(570) 839-9473
Organization SubpartNo
Authorized OfficialRichard Vincent SimeoneOwner · (570) 839-9402
Enumeration DateApril 30, 2012
✔ NPI 1780942557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in PA · DC000378L
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.
18 FORK ST, Mount Pocono, PA 18344

Other Identifiers 1

Medicare UPIN434259PA

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20120504000372Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

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

Clinician (1)

Chiropractic
NPI 1417964313
18 FORK ST
Mount Pocono, PA 18344
(570) 839-9402
✔ 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 Family & Sports Chiropractic, PC's NPI number?

The NPI number for Family & Sports Chiropractic, PC is 1780942557. It was assigned to this organization in the NPPES registry on April 30, 2012.

Where is Family & Sports Chiropractic, PC located?

Family & Sports Chiropractic, PC is located at 18 Fork St, Mount Pocono, PA 18344. The listed phone number is (570) 839-9402.

What is Family & Sports Chiropractic, PC's specialty?

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

Is Family & Sports Chiropractic, PC enrolled in Medicare?

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

When is Family & Sports Chiropractic, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Family & Sports Chiropractic, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Family & Sports 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 Family & Sports Chiropractic, PC was last updated on April 30, 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.