Individual provider Active NPI

Patricia Marie Holtz, D.C.

  • Chiropractor
  • Hanover, PA
National Provider Identifier
1609984731
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009716 Issued in PA
Practice address
1157 Eichelberger St Ste 3
Hanover, PA 17331-1372
Phone
(717) 633-1945
Fax
(717) 633-1655
NPI assigned
Aug 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009716 PA Primary

Addresses

Primary practice location

1157 Eichelberger St Ste 3
Hanover, PA 17331-1372

Mailing address

1157 Eichelberger St Ste 3
Hanover, PA 17331-1372
Phone (717) 633-1945

Other practice location 1

147 N Main St
Spring Grove, PA 17362-1115
Phone (717) 739-8146

Other names 1

  • Patricia Marie West Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070301000244 PA Practitioner - Chiropractic 0244332781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holtz Family Chiropractic LLCGroup PAC ID 4082710694, 2 clinicians

Practice addresses (Care Compare)

147 N Main St
Spring Grove, PA 17362-1115
Phone (717) 739-8146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holtz Family Chiropractic, LLC Chiropractor CurrentSince Apr 16, 2007 Accepting new patients

Locations

1157 Eichelberger St
Ste 3
Hanover, PA 17331
Phone (717) 633-1945

147 N Main St
Spring Grove, PA 17362
Phone (717) 739-8146

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1609984731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 EICHELBERGER ST STE 3",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311372",
            "telephone_number": "717-633-1945",
            "fax_number": "717-633-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 EICHELBERGER ST STE 3",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311372",
            "telephone_number": "717-633-1945",
            "fax_number": "717-633-1655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 N Main St",
            "address_purpose": "LOCATION",
            "city": "Spring Grove",
            "state": "PA",
            "postal_code": "173621115",
            "country_code": "US",
            "telephone_number": "717-739-8146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLTZ",
        "first_name": "PATRICIA",
        "middle_name": "MARIE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "WEST",
            "middle_name": "MARIE",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.