Organization Active NPI

Wertley Holdings LLC

  • Chiropractor
  • Hummelstown, PA
National Provider Identifier
1407737083
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WERTLEY HOLDINGS LLC
Practice address
125 Lucy Ave
Hummelstown, PA 17036-9134
Phone
(717) 915-7877
Fax
(717) 323-6838
NPI assigned
Sep 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Trystan Wertley, DCNPI 1881448330
Title
Owner
Phone
(717) 915-7877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

125 Lucy Ave
Hummelstown, PA 17036-9134

Mailing address

125 Lucy Ave
Hummelstown, PA 17036-9134
Phone (717) 915-7877

Other names 1

  • Keystone Upper Cervical Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251016000659 PA Part B Supplier - Clinic/Group Practice 9436646148 Receives reassigned benefits from 1 practitioner
Practice locations: Middletown, PA

National Provider Directory

National Provider Directory

Locations

4000 Vine St
#102
Middletown, PA 17057
Phone (717) 425-0975

4000 Vine St
Ste 102
Middletown, PA 17057
Phone (717) 915-7877

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1407737083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LUCY AVE",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170369134",
            "telephone_number": "717-915-7877",
            "fax_number": "717-323-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LUCY AVE",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170369134",
            "telephone_number": "717-915-7877",
            "fax_number": "717-323-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WERTLEY HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-10",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "WERTLEY",
        "authorized_official_first_name": "TRYSTAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-915-7877",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keystone Upper Cervical Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hummelstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.