Individual provider Active NPI

Todd Allen Ulery, D.C.

  • Sports Physician Chiropractor
  • Scottdale, PA
National Provider Identifier
1366443426
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC005213L Issued in PA
Practice address
109 Crossroads Rd
Suite 206
Scottdale, PA 15683-2458
Phone
(724) 887-4661
Fax
(724) 887-3329
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X DC005213L PA Primary

Addresses

Primary practice location

109 Crossroads Rd
Suite 206
Scottdale, PA 15683-2458

Mailing address

109 Crossroads Rd
Suite 206
Scottdale, PA 15683-2458
Phone (724) 887-4661

Other identifiers 1

IdentifierTypeStateIssuer
0013931630001MedicaidPA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061108000612 PA Practitioner - ChiropracticPractitioner - Sports MedicinePractitioner - Physical Medicine and Rehabilitation 7315944154 Practice locations: Mt Pleasant, PA

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation, Sports Medicine
Education
Logan College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 S Quarry St
Mt Pleasant, PA 15666-1719
Phone (724) 887-4661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ulery Chiropractic 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.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366443426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CROSSROADS RD",
            "address_2": "SUITE 206",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156832458",
            "telephone_number": "724-887-4661",
            "fax_number": "724-887-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CROSSROADS RD",
            "address_2": "SUITE 206",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156832458",
            "telephone_number": "724-887-4661",
            "fax_number": "724-887-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULERY",
        "first_name": "TODD",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "PA",
            "license": "DC005213L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013931630001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottdale, PA

Sources for this page

Verify at the official NPI Registry.