Pettay Chiropractic Services LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PETTAY CHIROPRACTIC SERVICES LLC

Practice address

2323 Oregon Pike
Lancaster, PA 17601-4608

Phone

(717) 575-5948

NPI assigned

Oct 29, 2024

Organization subpart

No

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

Authorized official

Name

Paul M Pettay, DCNPI 1245373810

Title

Authorized Official

Phone

(717) 575-6948

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Michael Pettay, DC

  • Sports Physician Chiropractor
  • Lancaster, PA
  • NPI 1245373810
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1366264541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 OREGON PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014608",
            "telephone_number": "717-575-5948"
        },
        {
            "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": "717-575-5948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETTAY CHIROPRACTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "PETTAY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "717-575-6948",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Petkash, MD
• Veronica Petrillo, PSYD
• Andrea Sue Petrokonis, CRNP
• Carla R Petroski, LCSW
• Carmen Charles Petruzzelli
• Paul Michael Pettay, DC
• Daniel J Pezzulo, PHD, ABSNP, LCSW
• Hannah Pham
• Nhu Anh Thi Pham, PHARMD.
• Hiep C Phan, MD

• Chiropractor in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.