Organization Active NPI

Hands in Health, PC

  • Chiropractor
  • Williamsport, PA
National Provider Identifier
1912295692
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010094 Issued in PA
Legal business name
HANDS IN HEALTH, PC
Practice address
1017 Washington Blvd
Suite a
Williamsport, PA 17701-3633
Phone
(570) 916-5554
Fax
(570) 329-2283
NPI assigned
Jul 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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

Authorized official

Name
Dr. Kelli L Datres, DCNPI 1245482520
Title
Chairman
Phone
(570) 916-5554

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC010094 PA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC010095 PA

Addresses

Primary practice location

1017 Washington Blvd
Suite a
Williamsport, PA 17701-3633

Mailing address

1730 Bristol Ave
State College, PA 16801-3071
Phone (570) 916-5554

Other identifiers 1

IdentifierTypeStateIssuer
2147474OtherPAPENNSYLVANIA BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111005000218 PA Part B Supplier - Clinic/Group Practice 2567634041 Receives reassigned benefits from 2 practitioners
Practice locations: State College, PA; Williamsport, PA

National Provider Directory

National Provider Directory

Locations

1017 Washington Blvd
Ste A
Williamsport, PA 17701
Phone (570) 567-7765

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310688000000",
    "number": "1912295692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 BRISTOL AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168013071",
            "telephone_number": "570-916-5554",
            "fax_number": "570-329-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 WASHINGTON BLVD",
            "address_2": "SUITE A",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013633",
            "telephone_number": "570-916-5554",
            "fax_number": "570-329-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANDS IN HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-07-15",
        "status": "A",
        "authorized_official_last_name": "DATRES",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "570-916-5554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010094",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010095",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA BLUE SHIELD",
            "identifier": "2147474",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; 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.