Organization Active NPI

Optimal Wellness for Life Chiropractic Center LLC

  • Chiropractor
  • Lancaster, PA
National Provider Identifier
1447654546
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010853 Issued in PA
Legal business name
OPTIMAL WELLNESS FOR LIFE CHIROPRACTIC CENTER LLC
Practice address
247 N Shippen St
Ste 110
Lancaster, PA 17602-2769
Phone
(717) 341-2058
NPI assigned
Oct 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Authorized official

Name
Dr. Lynnashley Elliott Strazzo, D.C.NPI 1568887024
Title
Owner/Chiropractor
Phone
(717) 341-2058

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 DC010853 PA Primary

Addresses

Primary practice location

247 N Shippen St
Ste 110
Lancaster, PA 17602-2769

Mailing address

453 Wanda Cir
Lancaster, PA 17602-1028
Phone (717) 517-8195

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151111000049 PA Part B Supplier - Clinic/Group Practice 3072823632 Receives reassigned benefits from 3 practitioners
Practice locations: Lancaster, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1447654546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 WANDA CIR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176021028",
            "telephone_number": "717-517-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 N SHIPPEN ST",
            "address_2": "STE 110",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022769",
            "telephone_number": "717-341-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL WELLNESS FOR LIFE CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "STRAZZO",
        "authorized_official_first_name": "LYNNASHLEY",
        "authorized_official_middle_name": "ELLIOTT",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "717-341-2058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.