OLDE TOWNE WELLNESS LLC
NPI 1144388315
Chiropractor in Petersburg, VA

Active since December 04, 2006
515 S SYCAMORE ST, PETERSBURG, VA 23803(804) 733-8377(804) 733-8459 Get Directions Write a Review

NPPES record last updated: February 23, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Olde Towne Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLDE TOWNE WELLNESS LLC (NPI 1144388315) is a healthcare organization registered as a chiropractor in Petersburg, Virginia and active in the NPI registry since December 2006. The organization lists Thomnas James Hennessey, Owner, as its authorized official.

NPPES Registry Identity

NPI1144388315
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameOLDE TOWNE WELLNESS LLC
Location Address515 S SYCAMORE STPetersburg, VA 23803-5037
Mailing Address515 S Sycamore StPetersburg, VA 23803-5037 · (804) 733-8377 · Fax (804) 733-8459
Fax(804) 733-8459
Organization SubpartNo
Authorized OfficialThomnas James HennesseyOwner · (804) 733-8377
Enumeration DateDecember 4, 2006
Last NPPES UpdateFebruary 23, 2011
✔ NPI 1144388315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in VA · 0104001801
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
515 S SYCAMORE ST, Petersburg, VA 23803

Other Identifiers 5

Other640-504VA · United Heath Care
Medicare UPINU82107VA
Other418235VA · Southern Health
Medicare ID-Type Unspecified190000999
Other191798VA · Anthem

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olde Towne Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Olde Towne Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1285792424
515 S SYCAMORE ST
Petersburg, VA 23803
(804) 733-8377
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olde Towne Wellness LLC's NPI number?

The NPI number for Olde Towne Wellness LLC is 1144388315. It was assigned to this organization in the NPPES registry on December 4, 2006.

Where is Olde Towne Wellness LLC located?

Olde Towne Wellness LLC is located at 515 S Sycamore St, Petersburg, VA 23803. The listed phone number is (804) 733-8377.

What is Olde Towne Wellness LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Olde Towne Wellness LLC enrolled in Medicare?

Yes. Olde Towne Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Olde Towne Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Olde Towne Wellness LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Olde Towne Wellness LLC was last updated on February 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.