Individual provider Active NPI

Thomas P Lally, DC

  • Chiropractor
  • Yakima, WA
National Provider Identifier
1699849521
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001644 Issued in WA
Practice address
1508 S 36TH Ave
Yakima, WA 98902-4859
Phone
(509) 248-0301
Fax
(509) 248-0337
NPI assigned
Nov 20, 2006
Last updated
Sep 26, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00001644 WA Primary

Addresses

Primary practice location

1508 S 36TH Ave
Yakima, WA 98902-4859

Mailing address

1508 S 36TH Ave
Yakima, WA 98902-4859
Phone (509) 248-0301

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070110000352 WA Practitioner - Chiropractic 8224038575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1980
Medicare assignment
May accept Medicare assignment
Group practices
Lally Chiropractic Clinic PSGroup PAC ID 8729089222, 2 clinicians

Practice addresses (Care Compare)

1508 S 36TH Ave
Yakima, WA 98902-4859
Phone (509) 248-0301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lally Chiropractic Clinic PS Chiropractor CurrentSince Jan 2, 2007 Accepting new patients

Locations

1508 S 36th Ave
Yakima, WA 98902
Phone (509) 248-0301

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1699849521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 S 36TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024859",
            "telephone_number": "509-248-0301",
            "fax_number": "509-248-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 S 36TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024859",
            "telephone_number": "509-248-0301",
            "fax_number": "509-248-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALLY",
        "first_name": "THOMAS",
        "middle_name": "P",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.