HEALTHSOURCE OF FALL RIVER CHIROPRACTIC AND PROGRESSIVE WELLNESS, PC
NPI 1336577162
Chiropractor in Fall River, MA

Q: What is Healthsource Of Fall River Chiropractic And Progressive Wellness, PC's specialty?

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

Active since October 14, 2013

657 PLEASANT ST, UNIT 9, FALL RIVER, MA 02721(508) 677-2554(508) 677-2553 Get Directions Write a Review

NPPES record last updated: February 25, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Healthsource Of Fall River Chiropractic And Progressive Wellness, Pc NPPES

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

HEALTHSOURCE OF FALL RIVER CHIROPRACTIC AND PROGRESSIVE WELLNESS, PC (NPI 1336577162) is a healthcare organization registered as a chiropractor in Fall River, Massachusetts and active in the NPI registry since October 2013. The organization lists Todd Lewis Dersham, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1336577162

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameHEALTHSOURCE OF FALL RIVER CHIROPRACTIC AND PROGRESSIVE WELLNESS, PC

Location Address657 PLEASANT ST, UNIT 9Fall River, MA 02721-4323

Mailing Address657 Pleasant St, Unit 9Fall River, MA 02721-4323 · (508) 677-2554 · Fax (508) 677-2553

Phone(508) 677-2554

Fax(508) 677-2553

Organization SubpartNo

Authorized OfficialTodd Lewis DershamOwner/president · (508) 677-2554

Enumeration DateOctober 14, 2013

Last NPPES UpdateFebruary 25, 2014

✔ NPI 1336577162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in MA · 3339

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.

657 PLEASANT ST, Fall River, MA 02721

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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)

Healthsource Of Fall River Chiropractic And Progressive Wellness, Pc 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 Healthsource Of Fall River Chiropractic And Progressive Wellness, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Todd Dersham, D.C.

Chiropractic

NPI 1437454097

113 BRALEY HILL RD
Rochester, MA 02770

(607) 329-4036

13 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 Healthsource Of Fall River Chiropractic And Progressive Wellness, PC's NPI number?

The NPI number for Healthsource Of Fall River Chiropractic And Progressive Wellness, PC is 1336577162. It was assigned to this organization in the NPPES registry on October 14, 2013.

Where is Healthsource Of Fall River Chiropractic And Progressive Wellness, PC located?

Healthsource Of Fall River Chiropractic And Progressive Wellness, PC is located at 657 Pleasant St Unit 9, Fall River, MA 02721. The listed phone number is (508) 677-2554.

What is Healthsource Of Fall River Chiropractic And Progressive Wellness, PC's specialty?

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

Is Healthsource Of Fall River Chiropractic And Progressive Wellness, PC enrolled in Medicare?

Yes. Healthsource Of Fall River Chiropractic And Progressive Wellness, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healthsource Of Fall River Chiropractic And Progressive Wellness, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Healthsource Of Fall River Chiropractic And Progressive Wellness, PC. 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 Healthsource Of Fall River Chiropractic And Progressive Wellness, PC was last updated on February 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.