Myles David Altorelli, D.C.
Individual provider Active NPI Chiropractor · New Preston, CT
NPI 1497157994 · NPPES record last updated Sep 16, 2014
Key facts
- NPI
- 1497157994
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1987 (CT)
- Practice address
- 125 New Milford Tpke
New Preston, CT 06777-1703 - Phone
- (860) 868-6880
- Fax
- (860) 868-7310
- NPI assigned
- Sep 16, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
125 New Milford Tpke
New Preston, CT 06777-1703
Phone (860) 868-6880
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141205000790 | CT | Practitioner - Chiropractic | 4486976271 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altorelli Chiropractic and Wellness, LLC | Chiropractor | Current |
Accepting new patients |
Locations
125 New Milford Tpke
New Preston Marble Dale, CT 06777
Phone (860) 868-7318
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1987 | CT | Yes |
Addresses
Primary practice location
125 New Milford Tpke
New Preston, CT 06777-1703
Mailing address
125 New Milford Tpke
New Preston, CT 06777-1703
Phone (860) 868-6880
Other providers in New Preston, CT
- Alphonse D. Altorelli, M.D., P.C.
- Altorelli Chiropractic and Wellness, LLC
- Nicole Altorelli
- Megan Campanelli
- Rebecca Chaison Christian-Parilla
- Joseph Gerard Conrad
- Denise A Good
All providers in New Preston, CT · Chiropractor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2014. 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.