Individual provider Active NPI

Tracy Barry, D.C.

  • Chiropractor
  • Ferndale, NY
National Provider Identifier
1457549255
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008758-1 Issued in NY
Practice address
111 Sullivan Ave
Ferndale, NY 12734-4315
Phone
(845) 295-3455
Fax
(845) 295-0186
NPI assigned
Oct 5, 2007
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

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

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 1

  • Tracy Barry Professional name

Medicare participation

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

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Wellness of Middletown PCGroup PAC ID 1850642307, 2 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X008758-1NYMDChiropractor

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.