Proactive Pain Relief & Wellness, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC005653L Issued in PA

Legal business name

PROACTIVE PAIN RELIEF & WELLNESS, PC

Practice address

11 Long Ave
Ephrata, PA 17522-9795

Phone

(717) 733-6866

Fax

(737) 733-6996

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michele R Lausch, D.C.NPI 1073513339

Title

Office Manager/Vice President

Phone

(717) 733-6866

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

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

• Michele Renee Lausch, D.C.

  • Chiropractor
  • Ephrata, PA
  • NPI 1073513339
  Medicare reassignment Care Compare group NPD Authorized official
• Larry Lee Lausch Jr., D.C.

  • Chiropractor
  • Ephrata, PA
  • NPI 1629031364
  Medicare reassignment Care Compare group NPD
• Michael Patrick Connelly, DC

  • Chiropractor
  • Limerick, PA
  • NPI 1851356166
  NPD (past)
• John J Koller, DC

  • Nutrition Chiropractor
  • Akron, PA
  • NPI 1699790691
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1366465387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LONG AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175229795",
            "telephone_number": "717-733-6866",
            "fax_number": "737-733-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 LONG AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175229795",
            "telephone_number": "717-733-6866",
            "fax_number": "737-733-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE PAIN RELIEF & WELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "LAUSCH",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER/VICE PRESIDENT",
        "authorized_official_telephone_number": "717-733-6866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005653L",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005668L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "DB0067",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Feld Portaro, M.D.
• Cristopher B Posadas, MD
• Carey Postell
• Ericka L Powell, MD
• Stacie D. Powroznik, LMT
• John E Pugh, PHD
• Jyothy Punnoose, D.O.
• Quad-State Chiropractic Clinic, LLC
• Nana Ama Quartey, MD
• Jessica Ashley Quirin, CRNP

• All providers in Ephrata, PA
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.