Individual provider Active NPI

Troy Zacherl, D.C.

  • Chiropractor
  • Erie, PA
National Provider Identifier
1649270752
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-007449-L Issued in PA
Practice address
4720 Wattsburg Rd
Erie, PA 16504-2742
Phone
(814) 825-1102
Fax
(814) 825-3292
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-007449-L PA Primary
Sports Physician Chiropractor 111NS0005X DC-007449-L PA

Addresses

Primary practice location

4720 Wattsburg Rd
Erie, PA 16504-2742

Mailing address

4720 Wattsburg Road
Erie, PA 16504-2742
Phone (814) 825-1102

Other identifiers 7

IdentifierTypeStateIssuer
3006761OtherPAAETNA HMO
3742327OtherPACIGNA
0017512180003MedicaidPA
407664OtherPAHEALTHAMERICA
326476OtherPAUPMC
350283OtherPAHIGHMARK
7067415OtherPAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070227000013 PA Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 9931201670 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4720 Wattsburg Rd
Erie, PA 16504-2742
Phone (814) 825-1102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-007449-LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Troy W. Zacherl D.C., P.C. Chiropractor CurrentSince Jun 1, 2011 Accepting new patients
Family Chiropractic of Knox, Inc. Chiropractor CurrentSince Apr 16, 2018 Accepting new patients

Locations

4720 Wattsburg Rd
Erie, PA 16504
Phone (814) 825-1102

1277 E Grandview Blvd
Erie, PA 16504
Phone (814) 825-1102

108 Rossman Ave
Knox, PA 16232
Phone (814) 797-2863

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.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1649270752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 WATTSBURG ROAD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165042742",
            "telephone_number": "814-825-1102",
            "fax_number": "814-825-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 WATTSBURG RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165042742",
            "telephone_number": "814-825-1102",
            "fax_number": "814-825-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHERL",
        "first_name": "TROY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2023-02-16",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-007449-L",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "PA",
            "license": "DC-007449-L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3006761",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3742327",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017512180003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHAMERICA",
            "identifier": "407664",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "326476",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "350283",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7067415",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.