Individual provider Active NPI

Heather Rae Ferlitch, DC, MS, LAC

  • Chiropractor
  • State College, PA
National Provider Identifier
1346689924
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010703 Issued in PA
Practice address
233 Easterly Pkwy
Ste 105
State College, PA 16801-6300
Phone
(814) 810-7123
Fax
(814) 768-8481
NPI assigned
Jun 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 70 012236 NY
Acupuncturist 171100000X AK001081 PA
Chiropractor 111N00000X DC010703 PA Primary

Addresses

Primary practice location

233 Easterly Pkwy
Ste 105
State College, PA 16801-6300

Mailing address

233 Easterly Pkwy
Ste 105
State College, PA 16801-6300
Phone (814) 810-7123

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210208000116 PA Practitioner - ChiropracticPractitioner - Other (Physician) 5597179341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
70 012236NYMDChiropractor

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1346689924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 EASTERLY PKWY",
            "address_2": "STE 105",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016300",
            "telephone_number": "814-810-7123",
            "fax_number": "814-768-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 EASTERLY PKWY",
            "address_2": "STE 105",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016300",
            "telephone_number": "814-810-7123",
            "fax_number": "814-768-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERLITCH",
        "first_name": "HEATHER",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "DC, MS, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "70 012236",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK001081",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.