Li Chiropractic & Nurse Practitioner in Adult Health, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LI CHIROPRACTIC & NURSE PRACTITIONER IN ADULT HEALTH, PLLC

Practice address

20 Gilbert Ave Ste 201
Smithtown, NY 11787-5312

Phone

(631) 360-0170

Fax

(631) 724-0984

NPI assigned

Feb 25, 2026

Organization subpart

No

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

Authorized official

Name

Donald WallaceNPI 1891856738

Title

Owner

Phone

(631) 360-0170

Specialties & licenses 2

Addresses

Practitioners 1

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

• Donald John Wallace, DC

  • Rehabilitation Chiropractor
  • Smithtown, NY
  • NPI 1891856738
  NPD Authorized official

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

{
    "created_epoch": "1771977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1245184266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GILBERT AVE STE 201",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875312",
            "telephone_number": "631-360-0170",
            "fax_number": "631-724-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GILBERT AVE STE 201",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875312",
            "telephone_number": "631-360-0170",
            "fax_number": "631-724-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LI CHIROPRACTIC & NURSE PRACTITIONER IN ADULT HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-360-0170"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard B Lewin, MD
• Daniel Lewis, RPH
• Diamond Lewis, LMSW
• Kelly Lewis
• Maira Lewis
• Li Chiropractic and Physical Therapy PLLC (Block Sports Chiropractic and Physical Therapy)
• Li Chiropractic and Physical Therapy PLLC (Block Sports Chiropractic and Physical Therapy)
• Monica Liberato
• Sabrina Libretti, DO
• Michael Liccese Jr., R.N.

• Chiropractor in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.