Peter G. Tolodziecki

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-007532-L Issued in PA

Practice address

1222 Veterans Hwy
Bristol, PA 19007-2512

Phone

(215) 781-1169

Fax

(215) 788-8817

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Physical Medicine and Rehabilitation

Education

Life Chiropractic College, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194860148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 VETERANS HWY",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190072512",
            "telephone_number": "215-781-1169",
            "fax_number": "215-788-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 VETERANS HWY",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190072512",
            "telephone_number": "215-781-1169",
            "fax_number": "215-788-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLODZIECKI",
        "first_name": "PETER",
        "middle_name": "G.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-007532-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Good Shepherd Home Health Care and Hospice
• The Monroe Foundation for Youth
• Justin Lyle Thomas, ATC
• Thrift Drug Inc
• Roy E Toler, CRNA
• Joseph C Tomasetti, M.P.T.
• Tower Leasing Co., LLC
• Transcend Health
• Tri-State Clinical Research Trials, LLC
• Tri-State Visiting Home Physicians

• Chiropractor in Bristol, PA
• Providers in Bristol, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.