Active NPI
Mary Theresa Freeley, D.C.
- Chiropractor
- Suffern, NY
National Provider Identifier
1043293723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X011020
- Practice address
- 7-11 Suffern PL
Suite 109
Suffern, NY 10901-5501 - Phone
- (845) 368-8727
- Fax
- (845) 368-8777
- NPI assigned
- Nov 27, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X011020 | NY | Primary |
Addresses
Primary practice location
7-11 Suffern PL
Suite 109
Suffern, NY 10901-5501
Mailing address
7-11 Suffern PL
Suite 109
Suffern, NY 10901-5501
Phone (845) 368-8727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X011020 | NY | MD | Chiropractor |
| 011020 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| O'Brien Chiropractic, PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Suffern, NY
- NPI 1477859429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459123200000",
"number": "1043293723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7-11 SUFFERN PL",
"address_2": "SUITE 109",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109015501",
"telephone_number": "845-368-8727",
"fax_number": "845-368-8777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7-11 SUFFERN PL",
"address_2": "SUITE 109",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109015501",
"telephone_number": "845-368-8727",
"fax_number": "845-368-8777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREELEY",
"first_name": "MARY THERESA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-27",
"last_updated": "2016-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X011020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffern, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.