TOTAL BODY REHABILITATION LLC NPI 1336338581

NPI Information

  • NPI: 1336338581
  • Provider Name: TOTAL BODY REHABILITATION LLC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Doing Business As: SHANNON CHIROPRACTIC OFFICE
  • Address: 260 GODWIN AVE
    SUITE 1
    WYCKOFF, NJ
    ZIP 07481
  • Phone: (201) 891-1155

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NPI Details

TOTAL BODY REHABILITATION LLC is a chiropractor in Wyckoff, NJ. The provider is 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. TOTAL BODY REHABILITATION LLC NPI is 1336338581. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Shannon Chiropractic Office.

The provider's business location address is:

260 GODWIN AVE
SUITE 1
WYCKOFF, NJ
ZIP 07481-099
Phone: (201) 891-1155
Fax: (201) 891-5522

The provider's authorized official is Brian M. Shannon .
The authorized official title is Chiropractor / Owner and has the following contact phone number (201) 891-1155.

The enumeration date for this NPI number is 10/23/2007 and was last updated on 11/30/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical TherapistNo
2111N00000XChiropractorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16581280001MEDICARE NSCNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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