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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141113001325 | NY | Practitioner - Chiropractic | 1052408291 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X008758-1 | NY | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
NPI Registry JSON
{
"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. Record last updated by the provider on Nov 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.