Individual provider Active NPI

Cory G Wonderly, D.C.

  • Internist Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1326344839
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
DC010528 Issued in PA
Practice address
100 High Tower Blvd Ste 203
Pittsburgh, PA 15205-1134
Phone
(412) 275-3034
Fax
(412) 275-3037
NPI assigned
Jan 31, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internist Chiropractor 111NI0900X STUDENT PA
Internist Chiropractor 111NI0900X DC010528 PA Primary

Addresses

Primary practice location

100 High Tower Blvd Ste 203
Pittsburgh, PA 15205-1134

Mailing address

100 High Tower Blvd Ste 203
Pittsburgh, PA 15205-1134
Phone (412) 275-3034

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120120000767 PA Practitioner - Chiropractic 3375710098 Practice locations: McKees Rocks, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5472 Steubenville Pike
MC Kees Rocks, PA 15136-1412
Phone (412) 275-3034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
STUDENTPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wonderly Chiropractic LLC CurrentSince Aug 3, 2025 Accepting new patients
Wonderly Chiropractic LLC PastSince Jan 1, 2012 Accepting new patients
Capra Chiropractic LLC PastSince May 1, 2009 Accepting new patients
Deborah McSteen Internist Past Accepting new patients

Locations

100 High Tower Blvd
Ste 203
Pittsburgh, PA 15205
Phone (412) 275-3034

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1326344839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGH TOWER BLVD STE 203",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152051134",
            "telephone_number": "412-275-3034",
            "fax_number": "412-275-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGH TOWER BLVD STE 203",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152051134",
            "telephone_number": "412-275-3034",
            "fax_number": "412-275-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONDERLY",
        "first_name": "CORY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-31",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "PA",
            "license": "STUDENT",
            "primary": false
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "PA",
            "license": "DC010528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.