Individual provider Active NPI

Carl William Ohara, D.C.

  • Rehabilitation Chiropractor
  • Forest City, PA
National Provider Identifier
1023174158
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
PT002631-L Issued in PA
Practice address
622 Main St
Forest City, PA 18421-1481
Phone
(570) 586-8525
Fax
(570) 586-8889
NPI assigned
Jan 1, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC002631-L PA
Rehabilitation Chiropractor 111NR0400X PT002631-L PA Primary

Addresses

Primary practice location

622 Main St
Forest City, PA 18421-1481

Mailing address

622 Main St
Forest City, PA 18421-1481
Phone (570) 586-8525

Other identifiers 6

IdentifierTypeStateIssuer
2476401OtherPAAETNA
439862OtherPABLUECROSS
1037119OtherPAAMERICANSPECIALITYHEALTHN
70319OtherPAGEISINGERHEALTHPLAN
440356OtherPAFIRSTPRIORITYHEALTH
0009403000002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120510000299 PA Practitioner - Chiropractic 2466614318 Practice locations: Clarks Summit, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

301 W Grove St
Suite 9
Clarks Summit, PA 18411-2079
Phone (570) 586-8525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT002631-LPAMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cooney & O'Hara Medical Equipment Past Accepting new patients
David R. Tomazic, D.O., LLC PastSince Jan 1, 2008 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3691/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1023174158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 MAIN ST",
            "city": "FOREST CITY",
            "state": "PA",
            "postal_code": "184211481",
            "telephone_number": "570-586-8525",
            "fax_number": "570-586-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 MAIN ST",
            "city": "FOREST CITY",
            "state": "PA",
            "postal_code": "184211481",
            "telephone_number": "570-586-8525",
            "fax_number": "570-586-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHARA",
        "first_name": "CARL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002631-L",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "PT002631-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2476401",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "439862",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICANSPECIALITYHEALTHN",
            "identifier": "1037119",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGERHEALTHPLAN",
            "identifier": "70319",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTPRIORITYHEALTH",
            "identifier": "440356",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009403000002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.