Organization Active NPI

Route 2 Wellness, P.C.

Doing business as Priority Wellness

  • Chiropractor
  • Lowell, IN
National Provider Identifier
1861743148
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0800252A Issued in IN
Legal business name
ROUTE 2 WELLNESS, P.C.
Doing business as
Priority Wellness
Practice address
2072B E Commercial Ave
Lowell, IN 46356-2116
Phone
(219) 696-8916
Fax
(219) 696-6880
NPI assigned
Sep 26, 2012
Last updated
Oct 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Authorized official

Name
Dr. Casey H Walker, D.C.NPI 1770537045
Title
President
Phone
(219) 696-9816

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0800252A IN Primary

Addresses

Primary practice location

2072B E Commercial Ave
Lowell, IN 46356-2116

Mailing address

2072B E Commercial Ave
Lowell, IN 46356-2116
Phone (219) 696-8916

Other names 1

  • Priority Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130515000448 IN Part B Supplier - Clinic/Group Practice 7012154800 Receives reassigned benefits from 1 practitioner
Practice locations: Lowell, IN

National Provider Directory

National Provider Directory

Locations

2072B E Commercial Ave
Lowell, IN 46356
Phone (219) 696-6880

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1861743148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2072B E COMMERCIAL AVE",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463562116",
            "telephone_number": "219-696-8916",
            "fax_number": "219-696-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2072B E COMMERCIAL AVE",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463562116",
            "telephone_number": "219-696-8916",
            "fax_number": "219-696-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUTE 2 WELLNESS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-696-9816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "0800252A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Priority Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lowell, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.