Michael J. O'Leary, D.C., C.C.S. P.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X007268-1 Issued in NY

Practice address

395 Bay Rd
Queensbury, NY 12804-1405

Phone

(518) 793-1205

Fax

(518) 793-1515

NPI assigned

Jun 24, 2006

Last updated

Dec 19, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oleary Chiropractic PLLCGroup PAC ID 8325007800, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• O'Leary Chiropractic, PLLC

  • Chiropractor
  • Queensbury, NY
  • NPI 1447424981
  Medicare reassignment Care Compare group NPD Authorized official
• Glens Falls Optometry PC

  dba Glens Falls Vision Care

  • Optometrist
  • Queensbury, NY
  • NPI 1003958307
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1811923683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 BAY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041405",
            "telephone_number": "518-793-1205",
            "fax_number": "518-793-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 BAY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041405",
            "telephone_number": "518-793-1205",
            "fax_number": "518-793-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "credential": "D.C., C.C.S. P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007268-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Country Vision Center
• Helen Margaret Nutt, FNP-C
• Lauren Alexis O'Connor
• Shannon L O'Hara, PT
• O'Leary Chiropractic, PLLC
• Carissa Elizabeth O'Rourke, OTR/L
• Diane Ohanlon, LCSW-R
• Megan Oldenburger
• Shana Olson-Laake, RN
• James E Omohundro, MD

• Chiropractor in Queensbury, NY
• Providers in Queensbury, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.