Healthcare Provider Details

I. General information

NPI: 1053063545
Provider Name (Legal Business Name): JOSHUA MASORTI DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2022
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 W BEAVER AVE STE 3R
STATE COLLEGE PA
16801-4834
US

IV. Provider business mailing address

141 W BEAVER AVE STE 3R
STATE COLLEGE PA
16801-4834
US

V. Phone/Fax

Practice location:
  • Phone: 814-380-9582
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC011716
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: