Active NPI
Timothy E O'Leary, D.C.
- Chiropractor
- Peabody, MA
National Provider Identifier
1629098272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3075
- Practice address
- 49 Central St
Peabody, MA 01960-4375 - Phone
- (978) 531-0202
- Fax
- (978) 532-7076
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3075 | MA | Primary |
Addresses
Primary practice location
49 Central St
Peabody, MA 01960-4375
Mailing address
49 Central St
Peabody, MA 01960-4375
Phone (978) 531-0202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y37137 | Other | MA | BCBSMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
49 Central St
Peabody, MA 01960-4375
Phone (978) 531-0202
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3075 | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peabody Family Chiropractic, Inc. | Current | Accepting new patients | |
| Charles Street Family Chiropractic, Inc | Chiropractor | Past | Accepting new patients |
Locations
49 Central St
Peabody, MA 01960
Phone (978) 531-0202
Interoperability endpoints
- dr.tim@pfc0019.direct.chirotouch.md
Organizations & group practices 2
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.
-
- Clinic/Center
- Peabody, MA
- NPI 1710175518
-
- Chiropractor
- Boston, MA
- NPI 1770505273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381708800000",
"number": "1629098272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 CENTRAL ST",
"city": "PEABODY",
"state": "MA",
"postal_code": "019604375",
"telephone_number": "978-531-0202",
"fax_number": "978-532-7076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 CENTRAL ST",
"city": "PEABODY",
"state": "MA",
"postal_code": "019604375",
"telephone_number": "978-531-0202",
"fax_number": "978-532-7076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'LEARY",
"first_name": "TIMOTHY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2013-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "3075",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "Y37137",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.