Altorelli Chiropractic and Wellness, LLC
Organization Active NPI Chiropractor · New Preston, CT
NPI 1154725794 · NPPES record last updated Oct 10, 2014
Key facts
- NPI
- 1154725794
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1987 (CT)
- Legal business name
- ALTORELLI CHIROPRACTIC AND WELLNESS, LLC
- Practice address
- 125 New Milford Tpke
New Preston, CT 06777-1703 - Phone
- (860) 868-6880
- Fax
- (860) 868-7310
- NPI assigned
- Oct 10, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Myles David Altorelli, D.C.
- Title
- Owner
- Phone
- (860) 868-6880
Practitioners 1
-
Myles David Altorelli, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141105000687 | CT | Part B Supplier - Clinic/Group Practice | 2062634173 |
Receives reassigned benefits from 1 practitioner Practice locations: New Preston, CT |
National Provider Directory
Locations
125 New Milford Tpke
New Preston Marble Dale, CT 06777
Phone (860) 868-7318
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 1987 | CT | Yes |
Addresses
Primary practice location
125 New Milford Tpke
New Preston, CT 06777-1703
Mailing address
125 New Milford Tpke
New Preston, CT 06777-1703
Phone (860) 868-6880
Other providers in New Preston, CT
- Alphonse D. Altorelli, M.D., P.C.
- Myles David Altorelli
- Nicole Altorelli
- Megan Campanelli
- Rebecca Chaison Christian-Parilla
- Joseph Gerard Conrad
All providers in New Preston, CT · Chiropractor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.