Long Island Chiropractic & Physical Therapy, PLLC
NPI 1417207028ActiveOrganization· Chiropractor· Smithtown, NY
Chiropractor in Smithtown, New York, registered in NPPES in September 2012. The authorized official on file is Donald John Wallace, DC, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417207028 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 12, 2012 |
| Last updated in NPPES | Nov 19, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
| Physical Therapist | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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