Individual provider Active NPI

Andrew T Pitcher, DC

  • Chiropractor
  • Bloomington, IN
National Provider Identifier
1467860775
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002785A Issued in IN
Practice address
1121 W 2ND St
Bloomington, IN 47403-2160
Phone
(812) 336-2225
Fax
(812) 822-0606
NPI assigned
Jul 30, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002785A IN Primary

Addresses

Primary practice location

1121 W 2ND St
Bloomington, IN 47403-2160

Mailing address

1121 W 2ND St
Bloomington, IN 47403-2160
Phone (812) 336-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141114000861 IN Practitioner - Chiropractic 7810119476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Way of Wellness Chiropractic LLCGroup PAC ID 7719242361, 2 clinicians

Practice addresses (Care Compare)

1121 W 2ND St
Bloomington, IN 47403-2160
Phone (812) 336-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002785AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
A Way of Wellness Chiropractic, LLC Chiropractor CurrentSince Jun 1, 2018 Accepting new patients

Locations

1121 W 2nd St
Bloomington, IN 47403
Phone (812) 336-2225

1710 W 3rd St
Bloomington, IN 47404
Phone (812) 336-2225

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.

NPI Registry JSON

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1467860775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 W 2ND ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032160",
            "telephone_number": "812-336-2225",
            "fax_number": "812-822-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 W 2ND ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032160",
            "telephone_number": "812-336-2225",
            "fax_number": "812-822-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITCHER",
        "first_name": "ANDREW",
        "middle_name": "T",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-30",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002785A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.