Individual provider Active NPI

Abigail May Rovnak Wallace, DC

  • Chiropractor
  • South Berwick, ME
National Provider Identifier
1750955332
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR2801 Issued in ME
Practice address
2 Punkin Town Rd Ste 201
South Berwick, ME 03908-1846
Phone
(207) 451-7682
NPI assigned
May 18, 2021
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR2801 ME Primary

Addresses

Primary practice location

2 Punkin Town Rd Ste 201
South Berwick, ME 03908-1846

Mailing address

2 Punkin Town Rd Ste 201
South Berwick, ME 03908-1846
Phone (207) 451-7682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210524001100 MA Practitioner - Chiropractic 5496154551
I20220224002241 ME Practitioner - Chiropractic 5496154551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Works Chiropractic and Wellness, PAGroup PAC ID 3678715992, 3 clinicians

Practice addresses (Care Compare)

2 Punkin Town Rd
Suite 201
South Berwick, ME 03908-1846
Phone (207) 451-7682

249 Main St
South Berwick, ME 03908-1543
Phone (207) 704-0298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CR2801MEMDChiropractor
3733MAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Great Works Chiropractic & Wellness, PA Chiropractor CurrentSince Feb 1, 2022 Accepting new patients
True North Family Chiropractic PLLC Chiropractor CurrentSince Feb 1, 2026 Accepting new patients

Locations

2 Punkin Town Rd
Ste 201
South Berwick, ME 03908
Phone (207) 451-7682

249 Main St
South Berwick, ME 03908
Phone (207) 704-0298

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, 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": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1750955332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PUNKIN TOWN RD STE 201",
            "city": "SOUTH BERWICK",
            "state": "ME",
            "postal_code": "039081846",
            "telephone_number": "207-451-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PUNKIN TOWN RD STE 201",
            "city": "SOUTH BERWICK",
            "state": "ME",
            "postal_code": "039081846",
            "telephone_number": "207-451-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "ABIGAIL",
        "middle_name": "MAY ROVNAK",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR2801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Berwick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.