Individual provider Active NPI

Timothy John Daly, D.C.

  • Chiropractor
  • Rochester, NY
National Provider Identifier
1215295506
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
012173 Issued in NY
Practice address
2364 Lyell Ave
Rochester, NY 14606-5738
Phone
(585) 429-5100
Fax
(585) 429-5101
NPI assigned
Apr 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 012173 NY Primary

Addresses

Primary practice location

2364 Lyell Ave
Rochester, NY 14606-5738

Mailing address

1851 Stone Rd Ste 100
Rochester, NY 14615-2415
Phone (585) 225-6430

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141029002506 NY Practitioner - Chiropractic 8426279761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2012
Medicare assignment
May accept Medicare assignment
Group practices
P and T Chiropractic PLLCGroup PAC ID 4385928217, 8 clinicians

Practice addresses (Care Compare)

1815 S Clinton Ave
Suite 410
Rochester, NY 14618-5722
Phone (585) 444-7325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012173NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
DRD Healthsource Chiropractic PLLC CurrentSince Sep 24, 2014 Accepting new patients
P & T Chiropractic PLLC Chiropractor CurrentSince Mar 18, 2024 Accepting new patients
Natural Health Chiropractic PLLC Chiropractor PastSince Apr 10, 2015 Accepting new patients

Locations

1851 Stone Rd
Ste 100
Rochester, NY 14615
Phone (585) 225-6430

1815 S Clinton Ave
Ste 410
Rochester, NY 14618
Phone (585) 444-7325

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1215295506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 STONE RD STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146152415",
            "telephone_number": "585-225-6430",
            "fax_number": "585-225-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2364 LYELL AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146065738",
            "telephone_number": "585-429-5100",
            "fax_number": "585-429-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-25",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.