Chiropractic Spine Center IV
NPI 1063469740 · Rehabilitation Chiropractor · Wayne, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Chiropractic Spine Center IV is a Rehabilitation Chiropractor organization in Wayne, PA (NPI 1063469740).
Provider details
- NPI number
- 1063469740
- Entity type
- Organization
- Primary specialty
- Rehabilitation ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Theodore Glazer, President(610) 254-8200
- License
- AJ-007347-L (PA)
Specialties & taxonomies
Chiropractic Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-28
- Last updated
- 2016-06-14
Frequently asked questions
- What is Chiropractic Spine Center IV's NPI number?
- Chiropractic Spine Center IV's National Provider Identifier (NPI) is 1063469740, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Chiropractic Spine Center IV?
- Chiropractic Spine Center IV is classified in the NPPES registry as Rehabilitation Chiropractor (Chiropractic Providers).
- Where is Chiropractic Spine Center IV located?
- Chiropractic Spine Center IV's practice location on file with NPPES is 744 W Lancaster Ave, Wayne, PA 19087-2523.
- What is Chiropractic Spine Center IV's phone number?
- The practice phone number listed in the NPPES registry for Chiropractic Spine Center IV is (610) 254-8200.
- Does Chiropractic Spine Center IV accept Medicare?
- Chiropractic Spine Center IV is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Chiropractic Spine Center IV?
- The authorized official listed on Chiropractic Spine Center IV's NPPES record is Theodore Glazer, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Chiropractic Spine Center IV's NPI active?
- Yes — Chiropractic Spine Center IV's NPI (1063469740) is active in the NPPES registry as of the last update on 2016-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.