Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tri-State Sport and Spine, PLLC

Organization Chiropractor · NPI 1578921359

Tri-State Sport and Spine, PLLC is a Chiropractor 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
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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