ELITE PERFORMANCE CHIROPRACTIC AND PHYSICAL THERAPY PC (NPI# 1063923647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063923647 |
Entity Type | Organization |
Organization Name | ELITE PERFORMANCE CHIROPRACTIC AND PHYSICAL THERAPY PC |
Practice Address |
1061 Route 34 Ste B Aberdeen NJ 07747-2171 |
Mailing Address |
252 Nottingham Rd Morganville NJ 07751-9517 |
Practice Telephone | 9739706848 |
Practice Fax Number | 9739706849 |
Mailing Telephone | 7324419898 |
Mailing Fax Number | 7324419555 |
Enumeration Date | 2017-10-23 |
Last Update Date | 2017-10-23 |
Authorized Official Name | DR. JOHN T LACOGNATA (OWNER / CHIROPRACTOR) |
Authorized Official Telephone | 7329706848 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225100000X | Physical Therapist | 40QA01427400 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 225100000X | Physical Therapist | 40QA01576500 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 225100000X | Physical Therapist | 40QA00491800 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 111N00000X | Chiropractor | 38MC00470000 | NJ | Chiropractic Providers |
Street Address |
1061 ROUTE 34 STE B |
City | ABERDEEN |
State | NJ |
Zip Code | 07747-2171 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730730169 | Therapy Enlightens, LLC | Counselor | 811 Sloan Court, Matawan, NJ 07747 | 2019-09-26 |
1831748045 | Adam Fan | Physical Therapist | 1016 Hwy 34 Matawan, Building 9, Matawan, NJ 07747 | 2019-09-10 |
1255819843 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 96 Church St., Apt. 110, Aberdeen, NJ 07747 | 2018-08-06 |
1023547775 | Claire Casey | Counselor | 166 Main Strreet, Matawan, NJ 07747 | 2017-06-07 |
1174975361 | Danielle Barakat | Behavioral Analyst | 2 Mill Rd, Apt 2, Matawan, NJ 07747 | 2016-07-12 |
1275982019 | Angel Cardenas | Social Worker | 1208 Route 34 Tower 2 Suite 20, Aberdeen, NJ 07747 | 2016-06-10 |
1891175931 | Gabriella Taube | Dentist | 1130 Nj-34, Aberdeen Township, NJ 07747 | 2015-06-03 |
1639423874 | Bayshore Ems, Inc | Ambulance | 260 Church Street, Aberdeen, NJ 07747 | 2012-11-08 |
1689959462 | Michael Ruggiero | Counselor | 104 Wellington Place, Aberdeen, NJ 07747 | 2011-10-12 |
1619258407 | Maressa Nordstrom | Counselor | 196 Main St Ste 103, Matawan, NJ 07747 | 2011-09-07 |
Find all providers in zip 07747 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639798770 | Sandhills Family Chiropractic Pllc | Chiropractor | 155 Allison Page Rd., Suite B, Aberdeen, NC 28315-2831 | 2020-04-09 |
1083153415 | Bledsoe Family Chiropractic, LLC | Chiropractor | 221 6th Ave Se Ste 1, Aberdeen, SD 57401-4326 | 2017-02-17 |
1124410782 | Chiropractic Center of Monmouth | Chiropractor | 1055 Route 34 Ste B, Aberdeen, NJ 07747-2192 | 2015-02-19 |
1497153175 | First Chiropractic of The Sandhills | Chiropractor | 1701 N Sandhills Blvd Ste D, Aberdeen, NC 28315-2337 | 2014-12-12 |
1699019950 | Taylor Ross Anderson | Chiropractor | 416 S Dakota St Ste 1, Aberdeen, SD 57401-4615 | 2012-11-26 |
1588911507 | Michael Fischer Cady | Chiropractor | 900 Riverview Dr, Aberdeen, WA 98520 | 2012-08-08 |
1851683346 | Derek Rekow | Chiropractor | 2211 8th Ave Ne, Ste 2101, Aberdeen, SD 57401-3232 | 2011-05-03 |
1457506891 | Randy Mages | Chiropractor | 123 4th Ave Sw, Suite 3, Aberdeen, SD 57401-4117 | 2008-11-26 |
1518115005 | Dakota Chiropractic of Aberdeen, PC | Chiropractor | 520 Moccasin Drive, Aberdeen, SD 57401 | 2008-09-09 |
1538382122 | Chandler & Chandler Inc Ps | Chiropractor | 1314 E Wishkah St, Aberdeen, WA 98520-4227 | 2007-04-11 |
Find all providers in ABERDEEN |
Please comment or provide details below to improve the information on ELITE PERFORMANCE CHIROPRACTIC AND PHYSICAL THERAPY PC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.