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EAST OTTERMAN CHIROPRACTIC
NPI 1871532739
Chiropractor in Greensburg, PA

Active since June 06, 2006
125 E OTTERMAN ST, GREENSBURG, PA 15601(724) 838-7700(724) 838-7200 Get Directions Write a Review

NPPES record last updated: May 7, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About East Otterman Chiropractic NPPES

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

EAST OTTERMAN CHIROPRACTIC (NPI 1871532739) is a healthcare organization registered as a chiropractor in Greensburg, Pennsylvania and active in the NPI registry since June 2006. The organization lists Patrick Kelly, Owner, as its authorized official.

NPPES Registry Identity

NPI1871532739
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDETRICK & KELLY CHIROPRACTIC CLINIC INC
Location Address125 E OTTERMAN STGreensburg, PA 15601-2509
Mailing Address125 E Otterman StGreensburg, PA 15601-2509 · (724) 838-7700 · Fax (724) 838-7200
Phone(724) 838-7700
Fax(724) 838-7200
Organization SubpartNo
Authorized OfficialPatrick KellyOwner · (724) 838-7700
Enumeration DateJune 6, 2006
Last NPPES UpdateMay 7, 2013
✔ NPI 1871532739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in PA · DC007066L
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.
125 E OTTERMAN ST, Greensburg, PA 15601
Open in Google Maps ↗

Other Names 1

Doing Business AsEast Otterman Chiropractic

Other Identifiers 6

Other427398PA · Blue Shield
Other410013PA · Health America
Medicare PIN039903PA
Other5840690PA · Aetna
Medicaid1813203PA
Other216189PA · Upmc

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

East Otterman Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20050209000077Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to East Otterman Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Patrick Kelly, DC
Chiropractic
NPI 1194703850
125 E OTTERMAN ST
Greensburg, PA 15601
(724) 838-7700
✔ Accepts Medicare0.3 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 Detrick & Kelly Chiropractic Clinic Inc's NPI number?

The NPI number for Detrick & Kelly Chiropractic Clinic Inc is 1871532739. It was assigned to this organization in the NPPES registry on June 6, 2006. The provider is doing business as East Otterman Chiropractic.

Where is Detrick & Kelly Chiropractic Clinic Inc located?

Detrick & Kelly Chiropractic Clinic Inc is located at 125 E Otterman St, Greensburg, PA 15601. The listed phone number is (724) 838-7700.

What is Detrick & Kelly Chiropractic Clinic Inc's specialty?

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

Is Detrick & Kelly Chiropractic Clinic Inc enrolled in Medicare?

Yes. Detrick & Kelly Chiropractic Clinic Inc is registered in the Medicare PECOS enrollment system.

When is Detrick & Kelly Chiropractic Clinic Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Detrick & Kelly Chiropractic Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Detrick & Kelly Chiropractic Clinic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Detrick & Kelly Chiropractic Clinic Inc was last updated on May 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.