Active NPI
Timothy Ryan Purcell, D.C.
- Chiropractor
- Edinboro, PA
National Provider Identifier
1285634147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC008936
- Practice address
- 111 Walker Dr
Edinboro, PA 16412-2237 - Phone
- (814) 734-3991
- Fax
- (814) 734-0812
- NPI assigned
- Jul 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC008936 | PA | Primary |
Addresses
Primary practice location
111 Walker Dr
Edinboro, PA 16412-2237
Mailing address
111 Walker Dr
Edinboro, PA 16412-2237
Phone (814) 734-3991
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019386290002 | Medicaid | PA | |
| 1445674 | Other | PA | HIGHMARK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
108 Rossman Ave
Knox, PA 16232-1844
Phone (814) 797-2863
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Chiropractic of Knox, Inc. | Chiropractor | Current | Accepting new patients |
| Bespoke Chiropractic LLC | Chiropractor | Past | Accepting new patients |
| Pleasantview Chiropractic, LLC | Chiropractor | Past | Accepting new patients |
Locations
108 Rossman Ave
Knox, PA 16232
Phone (814) 797-2863
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 and National Provider Directory roles.
-
- Chiropractor
- Knox, PA
- NPI 1629266150
-
- Chiropractor
- Waterford, PA
- NPI 1558024661
-
- Chiropractor
- Erie, PA
- NPI 1770956575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1285634147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 WALKER DR",
"city": "EDINBORO",
"state": "PA",
"postal_code": "164122237",
"telephone_number": "814-734-3991",
"fax_number": "814-734-0812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 WALKER DR",
"city": "EDINBORO",
"state": "PA",
"postal_code": "164122237",
"telephone_number": "814-734-3991",
"fax_number": "814-734-0812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURCELL",
"first_name": "TIMOTHY",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC008936",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019386290002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "1445674",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edinboro, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.