Organization Active NPI

Wellness Center of Natrona Heights, PLLC

  • Chiropractor
  • Natrona Heights, PA
National Provider Identifier
1487152005
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC008813 Issued in PA
Legal business name
WELLNESS CENTER OF NATRONA HEIGHTS, PLLC
Practice address
1616 Broadview Blvd.
Natrona Heights, PA 15065
Phone
(724) 224-2100
Fax
(724) 224-8401
NPI assigned
Jan 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Authorized official

Name
Mrs. Misty Otoole, DC
Title
Chiropractor/Owner
Phone
(724) 224-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC008813 PA Primary

Addresses

Primary practice location

1616 Broadview Blvd.
Natrona Heights, PA 15065

Mailing address

1616 Broadview Blvd.
Natrona Heights, PA 15065
Phone (724) 224-2100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181109000273 PA Part B Supplier - Clinic/Group Practice 3173877149 Receives reassigned benefits from 1 practitioner
Practice locations: Natrona Heights, PA

National Provider Directory

National Provider Directory

Locations

1616 Broadview Blvd
Natrona Hts, PA 15065
Phone (724) 224-1667

Practitioners & affiliated clinicians

Practitioners 2

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": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1487152005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 BROADVIEW BLVD.",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "15065",
            "telephone_number": "724-224-2100",
            "fax_number": "724-224-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 BROADVIEW BLVD.",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "15065",
            "telephone_number": "724-224-2100",
            "fax_number": "724-224-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CENTER OF NATRONA HEIGHTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "OTOOLE",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "724-224-2100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natrona Heights, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.