Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Tri-State Sport and Spine, PLLC

Organization Chiropractor · NPI 1578921359

Tri-State Sport and Spine, PLLC provides Chiropractor services in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2016.

Licensed in
PA
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 S Broad Street 1800
Philadelphia, PA 19110 Not confirmed with CMS for 10 years — call before visiting
Phone: (215) 988-9503
Fax: (215) 988-9533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence DC010688 (PA)

Record details

NPI number1578921359
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationTri-State Sport and Spine, PLLC
Authorized official Michael Dougherty — Owner · (609) 760-0386
NPI enumeratedFebruary 8, 2016
Last updated in NPPESFebruary 8, 2016
Mailing address110 Wharton St, Philadelphia, PA 19147-5425

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