KELLIE ANNE DATTILO
NPI 1285492447
Chiropractor in Seneca Falls, NY
About Kellie Anne Dattilo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLIE ANNE DATTILO (NPI 1285492447) is an individual chiropractor in Seneca Falls, New York, licensed in New York (STUDENT) and active in the NPI registry since March 2024.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kellie Anne Dattilo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kellie Dattilo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Canandaigua, NY 14424
- Reassigned Medicare billing, New York enrollment
- 8 clinicians in this Medicare group
Rochester, NY 14626
- Reassigned Medicare billing, New York enrollment
- 6 clinicians in this Medicare group
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 Kellie Dattilo's NPI number?
The NPI number for Kellie Dattilo is 1285492447. It was assigned to this individual provider in the NPPES registry on March 11, 2024.
Where is Kellie Dattilo located?
Kellie Dattilo practices at 18 Seneca Manor Dr, Seneca Falls, NY 13148. The listed phone number is (860) 689-3406.
What is Kellie Dattilo's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Kellie Dattilo enrolled in Medicare?
Yes. Kellie Dattilo is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kellie Dattilo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Dattilo reassigns Medicare benefits to 2 organizations: Chosen Spot Chiropractic & Wellness PLLC (Canandaigua, NY) and Drd Healthsource Chiropractic PLLC (Rochester, NY). Each 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 Kellie Dattilo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kellie Dattilo was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kellie Anne Dattilo · NPI 1285492447
Chiropractor provider in Seneca Falls, New York. Individual provider, active in the CMS NPPES registry since March 11, 2024.
## Identity
- **NPI:** 1285492447 (Entity type: Individual)
- **Enumerated:** March 11, 2024
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** STUDENT (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 18 SENECA MANOR DR, Seneca Falls, NY 13148-2319
- **Phone:** (860) 689-3406
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Chosen Spot Chiropractic & Wellness PLLC (NPI 1144665290, Canandaigua, NY); Drd Healthsource Chiropractic PLLC (NPI 1245479435, Rochester, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1285492447) · Data from the CMS NPPES public registry.