Active NPI
Tracy Lynn Wahl, D.C.
- Chiropractor
- Lansdowne, PA
National Provider Identifier
1801076823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC007731L
- Practice address
- 182 W Greenwood Ave
Lansdowne, PA 19050-1828 - Phone
- (610) 334-9545
- NPI assigned
- Nov 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC007731L | PA | Primary |
Addresses
Primary practice location
182 W Greenwood Ave
Lansdowne, PA 19050-1828
Mailing address
182 W Greenwood Ave
Lansdowne, PA 19050-1828
Phone (610) 334-9545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC007731L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Symmetry Chiropractic, Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Health Service Clinic/Center
- Wilmington, DE
- NPI 1881870665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194393600000",
"number": "1801076823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 W GREENWOOD AVE",
"city": "LANSDOWNE",
"state": "PA",
"postal_code": "190501828",
"telephone_number": "610-334-9545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "182 W GREENWOOD AVE",
"city": "LANSDOWNE",
"state": "PA",
"postal_code": "190501828",
"telephone_number": "610-334-9545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAHL",
"first_name": "TRACY",
"middle_name": "LYNN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-07",
"last_updated": "2007-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC007731L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansdowne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.