Organization Active NPI

Kerry Deyo Taylor Wellness, Inc

Doing business as Upstate Chiropractic and Wellness

  • Chiropractor
  • Albany, NY
National Provider Identifier
1598357675
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KERRY DEYO TAYLOR WELLNESS, INC
Doing business as
Upstate Chiropractic and Wellness
Practice address
1820 Western Ave
Albany, NY 12203-4622
Phone
(518) 512-9626
NPI assigned
Feb 9, 2021
Last updated
Sep 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Marissa Stone
Title
Insurance and Billing Specialist
Phone
(518) 538-9888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

1820 Western Ave
Albany, NY 12203-4622

Mailing address

1820 Western Ave
Albany, NY 12203-4622
Phone (518) 512-9626

Other names 1

  • Upstate Chiropractic and Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230911000729 NY Part B Supplier - Clinic/Group Practice 0840654885 Receives reassigned benefits from 2 practitioners
Practice locations: Albany, NY

National Provider Directory

National Provider Directory

Locations

14 Columbia Cir
Ste 203
Albany, NY 12203
Phone (518) 512-9626

1820 Western Ave
Albany, NY 12203
Phone (518) 512-9626

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1598357675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122034622",
            "telephone_number": "518-512-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122034622",
            "telephone_number": "518-512-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRY DEYO TAYLOR WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "INSURANCE AND BILLING SPECIALIST",
        "authorized_official_telephone_number": "518-538-9888"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upstate Chiropractic and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.