OVERLAKE CHIROPRACTIC CLINIC
NPI 1962694224
Chiropractor in Burien, WA
About Overlake Chiropractic Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OVERLAKE CHIROPRACTIC CLINIC (NPI 1962694224) is a healthcare organization registered as a chiropractor in Burien, Washington and active in the NPI registry since August 2007. The organization lists Kevin Wayne Manchester, Doctor/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
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)
Overlake Chiropractic Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
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.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Overlake Chiropractic Clinic, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Thomas Wayne PLLC's NPI number?
The NPI number for Thomas Wayne PLLC is 1962694224. It was assigned to this organization in the NPPES registry on August 10, 2007. The provider is doing business as Overlake Chiropractic Clinic.
Where is Thomas Wayne PLLC located?
Thomas Wayne PLLC is located at 15858 1st Avenue South Suite #a104, Burien, WA 98148. The listed phone number is (206) 838-0022.
What is Thomas Wayne PLLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Thomas Wayne PLLC enrolled in Medicare?
Yes. Thomas Wayne PLLC is registered in the Medicare PECOS enrollment system.
When is Thomas Wayne PLLC'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 (Washington, Clinic/Group Practice) is due for revalidation by March 31, 2027. 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 Thomas Wayne PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Thomas Wayne PLLC. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Thomas Wayne PLLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Thomas Wayne PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Thomas Wayne PLLC was last updated on May 29, 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.
# Overlake Chiropractic Clinic · NPI 1962694224
Chiropractor organization in Burien, Washington. Organization record, active in the CMS NPPES registry since August 10, 2007.
## Identity
- **NPI:** 1962694224 (Entity type: Organization)
- **Enumerated:** August 10, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Legal business name:** Thomas Wayne Pllc
- **Organization subpart:** No
- **Authorized official:** Kevin Manchester, DOCTOR/OWNER
## Practice location
- **Address:** 15858 1ST AVENUE SOUTH, SUITE #A104, Burien, WA 98148
- **Phone:** (206) 838-0022 · **Fax:** (206) 838-0021
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Washington, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 29, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1962694224) · Data from the CMS NPPES public registry.