| Sports Performance And Spine, Llc | |
|
4491 School Rd S Murrysville PA 15632-1809 | |
| (724) 519-8261 | |
| Not Available |
| Full Name | Sports Performance And Spine, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4491 School Rd S, Murrysville, Pennsylvania |
| Authorized Official Name and Position | Amanda M Zimmerman (OWNER/CHIROPRACTOR) |
| Authorized Official Contact | 7245198261 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sports Performance And Spine, Llc 4491 School Rd S Murrysville PA 15632-1809 Ph: (724) 519-8261 | Sports Performance And Spine, Llc 4491 School Rd S Murrysville PA 15632-1809 Ph: (724) 519-8261 |
| NPI Number | 1104236264 |
|---|---|
| Provider Enumeration Date | 04/29/2014 |
| Last Update Date | 04/29/2014 |
| Medicare PECOS PAC ID | 3971726290 |
|---|---|
| Medicare Enrollment ID | O20140514000223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104236264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | DC009953 (Pennsylvania) | Primary |
| Provider Name | Michael R Baleno |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134241250 PECOS PAC ID: 5193730125 Enrollment ID: I20060213000724 |
| Provider Name | Amanda M Zimmerman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1366600025 PECOS PAC ID: 3072653229 Enrollment ID: I20091218000140 |
| Provider Name | Caitlin Jordan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1073001087 PECOS PAC ID: 7810241049 Enrollment ID: I20181107000227 |
| Provider Name | Breanna R Schall |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083187900 PECOS PAC ID: 4183952336 Enrollment ID: I20190826001961 |
| Provider Name | Orne K. Bey |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467051094 PECOS PAC ID: 3375950181 Enrollment ID: I20210323001576 |
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