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TRI-STATE SPORT AND SPINE, PLLC
NPI 1902200876
Chiropractor in Philadelphia, PA

Active since October 21, 2014
9331 OLD BUSTLETON AVE, SUITE 101, PHILADELPHIA, PA 19115(215) 251-8526(215) 673-1980 Get Directions Write a Review

NPPES record last updated: October 21, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tri-state Sport And Spine, Pllc NPPES

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

TRI-STATE SPORT AND SPINE, PLLC (NPI 1902200876) is a healthcare organization registered as a chiropractor in Philadelphia, Pennsylvania and active in the NPI registry since October 2014. The organization lists Michael R Dougherty, President, as its authorized official.

NPPES Registry Identity

NPI1902200876
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameTRI-STATE SPORT AND SPINE, PLLC
Location Address9331 OLD BUSTLETON AVE, SUITE 101Philadelphia, PA 19115-4204
Mailing Address110 Wharton StPhiladelphia, PA 19147-5425 · (215) 251-8526 · Fax (215) 673-1980
Phone(215) 251-8526
Fax(215) 673-1980
Organization SubpartNo
Authorized OfficialMichael R DoughertyPresident · (215) 251-8526
Enumeration DateOctober 21, 2014
✔ NPI 1902200876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in PA · DC010688
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.
9331 OLD BUSTLETON AVE, Philadelphia, PA 19115
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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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TEMPLE PHYSICIANS INC.
Obstetrics & Gynecology
9331 OLD BUSTLETON AVE, SUITE 201
PHILADELPHIA, PA 19115
Philadelphia County (215) 677-2453
ARTHUR ERWIN GORDON MD
Obstetrics & Gynecology (Gynecology)
9331 OLD BUSTLETON AVE, SUITE 203
PHILA, PA 19115
Philadelphia County (215) 602-8900
TEMPLE PHYSICIANS INC.
Obstetrics & Gynecology
9331 OLD BUSTLETON AVE, SUITE 101
PHILADELPHIA, PA 19115
Philadelphia County (215) 856-7371
TEMPLE PHYSICIANS INC
Family Medicine
9331 OLD BUSTLETON AVE, SUITE 100A
PHILADELPHIA, PA 19115
Philadelphia County (215) 333-2322
TEMPLE PHYSICIANS INC
Internal Medicine
9331 OLD BUSTLETON AVE, SUITE 202
PHILADELPHIA, PA 19115
Philadelphia County (215) 673-7070
TEMPLE PHYSICIANS INC.
Obstetrics & Gynecology (Gynecology)
9331 OLD BUSTLETON AVE, SUITE 203
PHILADELPHIA, PA 19115
Philadelphia County (215) 602-8900
GAIL T SULLIVAN MD
Obstetrics & Gynecology (Gynecology)
9331 OLD BUSTLETON AVE, SUITE 203
PHILADELPHIA, PA 19115
Philadelphia County (215) 602-8900
MITCHELL JASON MARDER D.O.
Family Medicine
9331 OLD BUSTLETON AVE, SUITE 101
PHILADELPHIA, PA 19115
Philadelphia County (215) 673-1520

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 Tri-State Sport And Spine, PLLC's NPI number?

The NPI number for Tri-State Sport And Spine, PLLC is 1902200876. It was assigned to this organization in the NPPES registry on October 21, 2014.

Where is Tri-State Sport And Spine, PLLC located?

Tri-State Sport And Spine, PLLC is located at 9331 Old Bustleton Ave Suite 101, Philadelphia, PA 19115. The listed phone number is (215) 251-8526.

What is Tri-State Sport And Spine, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Tri-State Sport And Spine, PLLC was last updated on October 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.