Active NPI
Christopher Wayrich, DC, OTR/L
- Occupational Therapist
- Jericho, NY
National Provider Identifier
1316946239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 017569-1
- Practice address
- 7 Deer LN
Jericho, NY 11753-2608 - Phone
- (516) 314-2891
- Fax
- (516) 342-1066
- NPI assigned
- Jul 21, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | X009749-1 | NY | |
| Occupational Therapist | 225X00000X | 017569-1 | NY | Primary |
Addresses
Primary practice location
7 Deer LN
Jericho, NY 11753-2608
Mailing address
7 Deer LN
Jericho, NY 11753-2608
Phone (516) 314-2891
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X009749-1 | NY | MD | Sports Physician Chiropractor |
| 017569-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Chiropractic of Shirley, PC | Sports Physician | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Sports Physician Chiropractor
- Shirley, NY
- NPI 1720113236
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": "1349308800000",
"number": "1316946239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 DEER LN",
"city": "JERICHO",
"state": "NY",
"postal_code": "117532608",
"telephone_number": "516-314-2891",
"fax_number": "516-342-1066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 DEER LN",
"city": "JERICHO",
"state": "NY",
"postal_code": "117532608",
"telephone_number": "516-314-2891",
"fax_number": "516-342-1066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAYRICH",
"first_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "DC, OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2012-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "NY",
"license": "X009749-1",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "017569-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jericho, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.