Lifetime Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC008894 Issued in PA

Legal business name

LIFETIME CHIROPRACTIC LLC

Practice address

911 Logan Blvd
Altoona, PA 16602-4025

Phone

(814) 946-4000

Fax

(814) 946-4777

NPI assigned

Aug 26, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Dan Wasney, D.C.NPI 1518048610

Title

Owner

Phone

(814) 330-7112

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dan Allen Wasney, D.C.

  • Chiropractor
  • Altoona, PA
  • NPI 1518048610
  Medicare reassignment NPD Authorized official
• Katrina Marie Messerli, D.C.

  • Chiropractor
  • Altoona, PA
  • NPI 1083795181
  NPD (past)

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1679889752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 LOGAN BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024025",
            "telephone_number": "814-946-4000",
            "fax_number": "814-946-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 LOGAN BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024025",
            "telephone_number": "814-946-4000",
            "fax_number": "814-946-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "WASNEY",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-330-7112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Nicole Ley, DPM
• Veronica Li, MD
• Kristen Lidwell
• Zachary Lieb
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• Melanie Dawn Ligas, OT
• Mariah Light
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• Lighthouse Medical, LLC
• Lighthouse Medical, LLC

• All providers in Altoona, PA
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.