Individual provider Active NPI

Theresa Lucy Pirraglia, D.C.

  • Sports Physician Chiropractor
  • Pelham, NY
National Provider Identifier
1730214339
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
X010623 Issued in NY
Practice address
629 Fifth Ave
Pelham Healing Center
Pelham, NY 10803-1251
Phone
(914) 738-2696
Fax
(914) 738-2465
NPI assigned
Feb 22, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X X010623 NY Primary

Addresses

Primary practice location

629 Fifth Ave
Pelham Healing Center
Pelham, NY 10803-1251

Mailing address

629 Fifth Ave
Pelham Healing Center
Pelham, NY 10803-1251
Phone (914) 738-2696

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040408001545 NY Practitioner - Chiropractic 7517858954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Radisson PLZ
Suite 709
New Rochelle, NY 10801-5766
Phone (914) 738-2696

600 Mamaroneck Ave
Suite 400
Harrison, NY 10528-1613
Phone (914) 738-2696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X010623NYMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Theresa L. Pirraglia DC PLLC CurrentSince Jan 3, 2006 Accepting new patients

Locations

1 Radisson Plz
Ste 709
New Rochelle, NY 10801
Phone (914) 738-2696

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730214339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 FIFTH AVE",
            "address_2": "PELHAM HEALING CENTER",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108031251",
            "telephone_number": "914-738-2696",
            "fax_number": "914-738-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 FIFTH AVE",
            "address_2": "PELHAM HEALING CENTER",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108031251",
            "telephone_number": "914-738-2696",
            "fax_number": "914-738-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRRAGLIA",
        "first_name": "THERESA",
        "middle_name": "LUCY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X010623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.