Kelly A Delorey, D.C.
Individual provider Active NPI Chiropractor · Reading, MA
NPI 1164595435 · NPPES record last updated Dec 14, 2022
Key facts
- NPI
- 1164595435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1936 (MA)
- Practice address
- 484 Main St Ste 1
Reading, MA 01867-3140 - Phone
- (781) 246-2888
- Fax
- (781) 246-2899
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1995
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
484 Main St
Suite 1
Reading, MA 01867-3140
Phone (781) 246-2888
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040826000630 | MA | Practitioner - Chiropractic | 5890769129 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1936 | MA | MD | Behavioral Analyst |
Interoperability endpoints
- chiro325@tvc0001.direct.chirotouch.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1936 | MA | Yes |
Addresses
Primary practice location
484 Main St Ste 1
Reading, MA 01867-3140
Mailing address
484 Main St Ste 1
Reading, MA 01867-3140
Phone (781) 246-2888
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 479189 | Other | MA | TUFTS HEALTH PLAN |
| Y36390 | Other | MA | BCBS OF MA INDIVIDUAL ID |
| 351182 | Other | MA | HPHC |
Other providers in Reading, MA
- Noah Davis
- Bryan Joseph Dawley
- Deborah Lamb Rd, LLC
- Coleen O'Brien Dechiara
- Janice Dehart
- Gebeyaw Demeke
- Katharine Emily Denault
- Christine Derse
- Amy Beth Devlin
- Kimberly S Diamond
All providers in Reading, MA · Chiropractor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2022. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.