Chiropractic Spine Center IV
Chiropractic Spine Center IV is a healthcare organization registered as Rehabilitation Chiropractor in Wayne, PA, holding Type 2 (organization) NPI 1063469740 since 2006. The authorized official on file is Theodore Glazer, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063469740 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Chiropractic Spine Center IV |
| Practice address | 744 W LANCASTER AVE, SUITE 105, Wayne, PA, 19087 |
| Phone | 6102548200 |
| Fax | 6102548263 |
| Enumeration date | 2006-05-28 |
| Last updated in NPPES | 2016-06-14 |
Authorized official
| Name | Theodore Glazer |
|---|---|
| Title | President |
| Phone | 6102548200 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225100000X | Physical Therapist | Secondary | AJ-007347-L | PA |
| 111NR0400X | Rehabilitation Chiropractor | Primary | DC007347L | PA |
Copy-ready billing details
Provider: Chiropractic Spine Center IV NPI: 1063469740 Taxonomy: 111NR0400X (Rehabilitation Chiropractor) Address: 744 W LANCASTER AVE, SUITE 105, Wayne, PA, 19087
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1295712487 | John Wildemore | Individual | Dermatology Physician | Wayne, PA |
| 1518922434 | Erica Founds | Individual | Physical Therapist | Wayne, PA |
| 1700844487 | Mark Bersheim | Individual | Physical Therapist | Wayne, PA |
| 1891743738 | Nancy Strub | Individual | Occupational Therapist | Wayne, PA |
| 1407872070 | Ralph Carabasi | Individual | Vascular Surgery Physician | Wayne, PA |
| 1376632257 | John K. Wildemore, MD, LLC | Organization | Dermatology Physician | Wayne, PA |
| 1184758948 | Surgery Ctr of the Main Line | Organization | Ambulatory Surgical Clinic/Center | Wayne, PA |
| 1295953719 | Advanced Vein & Vascular Center, Inc. | Organization | Specialist | Wayne, PA |
Verify this record
Cross-check NPI 1063469740 against the authoritative CMS record: view Chiropractic Spine Center IV on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Chiropractic Spine Center IV located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-06-14.