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: July 19, 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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
515 S SYCAMORE ST
PETERSBURG, VA 23803

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144388315, enumerated as an "organization" on December 04, 2006.

The provider is located at 515 S SYCAMORE ST PETERSBURG, VA 23803 and the phone number is (804) 733-8377.

Chiropractor with taxonomy code 111N00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Anthem Blue Cross. Please consult your insurance carrier or call the provider to verify.