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WILLIAMSPORT WELLNESS CENTER INC.
NPI 1205584232
Chiropractor in Williamsport, PA

Active since March 18, 2022
1355 FOUR MILE DR, WILLIAMSPORT, PA 17701(570) 322-1776(570) 322-1774 Get Directions Write a Review

NPPES record last updated: March 18, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Williamsport Wellness Center Inc. NPPES

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

WILLIAMSPORT WELLNESS CENTER INC. (NPI 1205584232) is a healthcare organization registered as a chiropractor in Williamsport, Pennsylvania and active in the NPI registry since March 2022. The organization lists Kelli Datres, Owner, as its authorized official.

NPPES Registry Identity

NPI1205584232
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWILLIAMSPORT WELLNESS CENTER INC.
Location Address1355 FOUR MILE DRWilliamsport, PA 17701-1932
Mailing Address1355 Four Mile DrWilliamsport, PA 17701-1932 · (570) 322-1776 · Fax (570) 322-1774
Phone(570) 322-1776
Fax(570) 322-1774
Organization SubpartNo
Authorized OfficialKelli DatresOwner · (579) 916-5554
Enumeration DateMarch 18, 2022
NPPES CertifiedMarch 18, 2022
✔ NPI 1205584232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
1355 FOUR MILE DR, Williamsport, PA 17701
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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)

Williamsport Wellness Center Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Williamsport Wellness Center Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Shauna Myers, DC
Chiropractic
NPI 1659746733
1355 FOUR MILE DR
Williamsport, PA 17701
(570) 322-1776
✔ Accepts MedicareSame address
Mark Hampton, D.C.
Chiropractic
NPI 1528072725
1111 E 3RD ST
Williamsport, PA 17701
(570) 322-5500
✔ Accepts Medicare1.0 mi
Zina Knight, DC
Chiropractic
NPI 1437864345
3166 N OLD TRL
Shamokin Dam, PA 17876
(570) 743-4333
✔ Accepts Medicare30 mi
Laura Bellows, DC
Chiropractic
NPI 1093887697
11822 ROUTE 6
Wellsboro, PA 16901
(570) 724-3990
✔ Accepts Medicare38 mi
Emery Pitcel, DC
Chiropractic
NPI 1194255414
1402 S ATHERTON ST STE 204
State College, PA 16801
(814) 441-5532
✔ Accepts Medicare56 mi

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 Williamsport Wellness Center Inc.'s NPI number?

The NPI number for Williamsport Wellness Center Inc. is 1205584232. It was assigned to this organization in the NPPES registry on March 18, 2022.

Where is Williamsport Wellness Center Inc. located?

Williamsport Wellness Center Inc. is located at 1355 Four Mile Dr, Williamsport, PA 17701. The listed phone number is (570) 322-1776.

What is Williamsport Wellness Center Inc.'s specialty?

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

Is Williamsport Wellness Center Inc. enrolled in Medicare?

Yes. Williamsport Wellness Center Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Williamsport Wellness Center Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Chiropractic, reassign their Medicare billing to Williamsport Wellness Center Inc.. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Williamsport Wellness Center Inc. was last updated on March 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.