NPIMap

Organization Active NPI

Worob Chiropractic PLLC

  • Chiropractor
  • Ithaca, NY
National Provider Identifier
1982996336
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
011697 Issued in NY
Legal business name
WOROB CHIROPRACTIC PLLC
Practice address
1212 Trumansburg Rd
Ithaca, NY 14850-1314
Phone
(607) 288-2205
Fax
(607) 793-9464
NPI assigned
May 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Ammitai Worob, D. C.NPI 1134355613
Title
Owner
Phone
(607) 288-2205

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 011697 NY Primary

Addresses

Primary practice location

1212 Trumansburg Rd
Ithaca, NY 14850-1314

Mailing address

1212 Trumansburg Rd
Ithaca, NY 14850-1314
Phone (607) 288-2205

Other practice location 1

165 S Main St Ste 3D
Cortland, NY 13045-3049
Phone (607) 288-2205

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111216000014 NY Part B Supplier - Clinic/Group Practice 8426223660 Receives reassigned benefits from 1 practitioner
Practice locations: Ithaca, NY

National Provider Directory

National Provider Directory

Locations

1212 Trumansburg Rd
Ithaca, NY 14850
Phone (607) 288-2205

Practitioners & affiliated clinicians

Practitioners 6

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": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1982996336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 TRUMANSBURG RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501314",
            "telephone_number": "607-288-2205",
            "fax_number": "607-793-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 TRUMANSBURG RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501314",
            "telephone_number": "607-288-2205",
            "fax_number": "607-793-9464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 S Main St Ste 3D",
            "address_purpose": "LOCATION",
            "city": "Cortland",
            "state": "NY",
            "postal_code": "130453049",
            "country_code": "US",
            "telephone_number": "607-288-2205",
            "fax_number": "607-793-9464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WOROB CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "WOROB",
        "authorized_official_first_name": "AMMITAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-288-2205",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.