Organization Active NPI

Timothy R Woodean Chiropractic and Massage Therapy PLLC

Doing business as Nautical Alignment Chiropractic and Massage

  • Chiropractor
  • Wilson, NY
National Provider Identifier
1194537670
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TIMOTHY R WOODEAN CHIROPRACTIC AND MASSAGE THERAPY PLLC
Doing business as
Nautical Alignment Chiropractic and Massage
Practice address
638 Lake St Ste 3
Wilson, NY 14172-9600
Phone
(716) 751-2222
NPI assigned
Jan 22, 2025
Last updated
Apr 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Timothy Robert Woodean, DC LMTNPI 1053140954
Title
Chiropractor/Owner
Phone
(716) 751-2222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

638 Lake St Ste 3
Wilson, NY 14172-9600

Mailing address

4233 Cambria Wilson Rd
Lockport, NY 14094-9797
Phone (716) 243-5136

Other names 1

  • Nautical Alignment Chiropractic and Massage Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250321001848 NY Part B Supplier - Clinic/Group Practice 8921520636 Receives reassigned benefits from 1 practitioner
Practice locations: Wilson, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1194537670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4233 CAMBRIA WILSON RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949797",
            "telephone_number": "716-243-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 LAKE ST STE 3",
            "city": "WILSON",
            "state": "NY",
            "postal_code": "141729600",
            "telephone_number": "716-751-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY R WOODEAN CHIROPRACTIC AND MASSAGE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "WOODEAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "716-751-2222",
        "authorized_official_credential": "DC LMT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nautical Alignment Chiropractic and Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.