Andrew J Pesale, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2200 Issued in CT

Practice address

2505 Main St
Stratford, CT 06615-5839

Phone

(203) 386-9100

Fax

(203) 375-3963

NPI assigned

Oct 8, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stratford Chiropractic, LLCGroup PAC ID 6002983509, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Stratford Chiropractic LLC

  • Chiropractor
  • Stratford, CT
  • NPI 1942477161
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1033716378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155839",
            "telephone_number": "203-386-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155839",
            "telephone_number": "203-386-9100",
            "fax_number": "203-375-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESALE",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "2200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Alexis Pena, OTR/L
• Penta Dental LC
• Diolenny Perez, LPN
• Daniel Perillo
• Personal Growth Concepts, Inc.
• Robert Pesale, D.C.
• Lauren Pessin, BCBA
• Monique Tyshae Pettway
• Merline Phidd
• Philiannas Care

• Chiropractor in Stratford, CT
• Providers in Stratford, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.