Tracy Barry, D.C.

Individual provider Active NPI Chiropractor · Ferndale, NY

NPI 1457549255 · NPPES record last updated Nov 6, 2025

Key facts

NPI
1457549255
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
X008758-1 (NY)
Practice address
111 Sullivan Ave
Ferndale, NY 12734-4315
Phone
(845) 295-3455
Fax
(845) 295-0186
NPI assigned
Oct 5, 2007
Sex
Female
Sole proprietor
Yes

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.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Wellness of Middletown PC (2 clinicians)

Practice addresses (Care Compare)

201 Dolson Ave
Suite H100
Middletown, NY 10940-6572
Phone (845) 381-5905

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20141113001325 NY Practitioner - Chiropractic 1052408291 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
X008758-1NYMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X008758-1 NY Yes

Addresses

Primary practice location

111 Sullivan Ave
Ferndale, NY 12734-4315

Mailing address

201 Dolson Ave
Ste H100
Middletown, NY 10940-6572
Phone (718) 434-0088

Other names

  • Tracy Barry Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 6, 2025.

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1457549255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DOLSON AVE",
            "address_2": "STE H100",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406572",
            "telephone_number": "718-434-0088",
            "fax_number": "718-434-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SULLIVAN AVE",
            "city": "FERNDALE",
            "state": "NY",
            "postal_code": "127344315",
            "telephone_number": "845-295-3455",
            "fax_number": "845-295-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY",
        "first_name": "TRACY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008758-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "BARRY",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ferndale, NY

All providers in Ferndale, NY · Chiropractor in New York

Sources for this page

Verify at the official NPI Registry.