Active NPI
Ellen L Wolk, D. C.
- Chiropractor
- Waltham, MA
National Provider Identifier
1942298534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1742
- Practice address
- 751 Main St
Suite 25
Waltham, MA 02451-0620 - Phone
- (781) 894-4890
- Fax
- (781) 894-5938
- NPI assigned
- Oct 9, 2005
- Sex
- Female
- Sole proprietor
- No
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 | 1742 | MA | Primary |
Addresses
Primary practice location
751 Main St
Suite 25
Waltham, MA 02451-0620
Mailing address
751 Main St
Suite 25
Waltham, MA 02451-0620
Phone (781) 894-4890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1742 | MA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278979200000",
"number": "1942298534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 MAIN ST",
"address_2": "SUITE 25",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024510620",
"telephone_number": "781-894-4890",
"fax_number": "781-894-5938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 MAIN ST",
"address_2": "SUITE 25",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024510620",
"telephone_number": "781-894-4890",
"fax_number": "781-894-5938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLK",
"first_name": "ELLEN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D. C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-09",
"last_updated": "2010-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "1742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.