Individual provider Active NPI

Andrea Lynne Wuotila, D.C.

  • Chiropractor
  • North Easton, MA
National Provider Identifier
1659604171
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHI3246 Issued in MA
Practice address
105 Washington St
Ste 4
North Easton, MA 02356-1100
Phone
(781) 255-7080
NPI assigned
Sep 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHI3246 MA Primary

Addresses

Primary practice location

105 Washington St
Ste 4
North Easton, MA 02356-1100

Mailing address

105 Washington St
Ste 4
North Easton, MA 02356-1100
Phone (781) 255-7080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100111000432 MA Practitioner - Chiropractic 9335280551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Easton Health SolutionsGroup PAC ID 3173783230, 2 clinicians

Practice addresses (Care Compare)

285 Washington St
Suite 4
North Easton, MA 02356-1117
Phone (508) 230-2323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHI3246MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Easton Health Solutions Chiropractor CurrentSince Jan 24, 2012 Accepting new patients
Pallis Chiropractic Center PC Chiropractor Past Accepting new patients

Locations

105 Washington St
Ste 4
North Easton, MA 02356
Phone (508) 230-2323

285 Washington St
Ste 4
North Easton, MA 02356
Phone (508) 230-2323

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": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1659604171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WASHINGTON ST",
            "address_2": "STE 4",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561100",
            "telephone_number": "781-255-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WASHINGTON ST",
            "address_2": "STE 4",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561100",
            "telephone_number": "781-255-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUOTILA",
        "first_name": "ANDREA",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "CHI3246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Easton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.