Waterbury Chiropractic Office LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

00196 Issued in CT

Legal business name

WATERBURY CHIROPRACTIC OFFICE LLC

Practice address

255 Robbins St
Waterbury, CT 06708-2762

Phone

(203) 573-8577

NPI assigned

Apr 24, 2015

Organization subpart

No

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

Authorized official

Name

Lori Fusco

Title

Manager

Phone

(203) 573-8577

Specialties & licenses 2

Addresses

Other names 1

• Active Life Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Francis Joseph Day, D.C.

  • Chiropractor
  • Waterbury, CT
  • NPI 1558304030
  Medicare reassignment NPD

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1194112490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 ROBBINS ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 ROBBINS ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082762",
            "telephone_number": "203-573-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERBURY CHIROPRACTIC OFFICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "FUSCO",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-573-8577"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "00196",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001584",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Life Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica A Warner, MA,BA
• Pamela Nicole Warren, PA-C
• Lori A Washenko, APRN, NP-C
• Waterbury Anesthesiology Assoc. Inc
• Waterbury Center for Nursing & Rehabilitation, LLC
• Waterbury Counseling Affiliates
• Waterbury Dental Care P.C.
• Waterbury Dental Care, P.C.
• Waterbury Eye Associates LLC
• Waterbury Family Chiropractic, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.