Paul Michael Pettay, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC006933L Issued in PA

Practice address

2323 Oregon Pike
Lancaster, PA 17601-4608

Phone

(717) 569-8905

NPI assigned

Feb 14, 2007

Sex

Male

Sole proprietor

No

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

New York Chiropractic College, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Pettay Chiropractic Services LLC

  • Chiropractor
  • Lancaster, PA
  • NPI 1366264541
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245373810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 COUNTRYSIDE DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176013505",
            "telephone_number": "717-569-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 OREGON PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014608",
            "telephone_number": "717-569-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTAY",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "PA",
            "license": "DC006933L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Petrillo, PSYD
• Andrea Sue Petrokonis, CRNP
• Carla R Petroski, LCSW
• Carmen Charles Petruzzelli
• Pettay Chiropractic Services LLC
• Daniel J Pezzulo, PHD, ABSNP, LCSW
• Hannah Pham
• Nhu Anh Thi Pham, PHARMD.
• Hiep C Phan, MD
• Dyanna Phaneuf, LPN

• Sports Physician Chiropractor in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Sports Physician 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.