Individual provider Active NPI

Ty Allen Harmon, D.C.

  • Rehabilitation Chiropractor
  • Wilmington, DE
National Provider Identifier
1891921482
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
F1-0000736 Issued in DE
Practice address
2006 Foulk Rd
Suite B
Wilmington, DE 19810-3644
Phone
(302) 529-8783
Fax
(302) 529-7470
NPI assigned
Jun 9, 2009
Last updated
Jun 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X F1-0000736 DE Primary

Addresses

Primary practice location

2006 Foulk Rd
Suite B
Wilmington, DE 19810-3644

Mailing address

2006 Foulk Rd
Suite B
Wilmington, DE 19810-3644
Phone (302) 529-8783

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110119000087 DE Practitioner - Chiropractic 6002005394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware Integrative Healthcare of Milford LLCGroup PAC ID 8022441286, 2 clinicians

Practice addresses (Care Compare)

686 N Dupont Blvd
Milford, DE 19963-1002
Phone (302) 503-7767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F1-0000736DEMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Integrative Healthcare of Milford, LLC CurrentSince Nov 1, 2019 Accepting new patients

Locations

401 E Main St
Ste 4B
Middletown, DE 19709
Phone (302) 376-5830

421 E Main St
Ste 6
Middletown, DE 19709
Phone (302) 376-5830

600 N DuPont Blvd
Ste 686
Milford, DE 19963
Phone (302) 376-5830

600 N DuPont Blvd
Unit 686
Milford, DE 19963
Phone (302) 376-5830

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, 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": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1891921482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 FOULK RD",
            "address_2": "SUITE B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103644",
            "telephone_number": "302-529-8783",
            "fax_number": "302-529-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 FOULK RD",
            "address_2": "SUITE B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103644",
            "telephone_number": "302-529-8783",
            "fax_number": "302-529-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "TY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "DE",
            "license": "F1-0000736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.