Active NPI
Michael Patrick Connelly, DC
- Chiropractor
- Limerick, PA
National Provider Identifier
1851356166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC005058L
- Practice address
- 695 N Lewis Rd
Limerick, PA 19468-1227 - Phone
- (610) 495-4550
- Fax
- (610) 495-4553
- NPI assigned
- Apr 19, 2006
- Last updated
- Jul 2, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | DC005058L | PA | Primary |
Addresses
Primary practice location
695 N Lewis Rd
Limerick, PA 19468-1227
Mailing address
695 N Lewis Rd
Limerick, PA 19468-1227
Phone (610) 495-4550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
695 N Lewis Rd
Limerick, PA 19468-1227
Phone (610) 495-4550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC005058L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Pain Relief & Wellness, PC | Chiropractor | Past | Accepting new patients |
| Kopicki Chiropractic, LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Connelly Chiropractic & Wellness
- Chiropractor
- Limerick, PA
- NPI 1033229463
-
- Chiropractor
- Limerick, PA
- NPI 1770822603
-
- Chiropractor
- Ephrata, PA
- NPI 1366465387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435795200000",
"number": "1851356166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "695 N LEWIS RD",
"city": "LIMERICK",
"state": "PA",
"postal_code": "194681227",
"telephone_number": "610-495-4550",
"fax_number": "610-495-4553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 N LEWIS RD",
"city": "LIMERICK",
"state": "PA",
"postal_code": "194681227",
"telephone_number": "610-495-4550",
"fax_number": "610-495-4553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNELLY",
"first_name": "MICHAEL",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2015-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC005058L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Limerick, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.