Active NPI
Michael Theodore Masias, D.C.
- Rehabilitation Chiropractor
- Hazleton, PA
National Provider Identifier
1033202890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- AJ009055
- Practice address
- 64 N Locust St
Hazleton, PA 18201-5740 - Phone
- (570) 501-9108
- Fax
- (570) 501-9150
- NPI assigned
- Oct 2, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC009223 | PA | |
| Rehabilitation Chiropractor | 111NR0400X | AJ009055 | PA | Primary |
Addresses
Primary practice location
64 N Locust St
Hazleton, PA 18201-5740
Mailing address
64 N Locust St
Hazleton, PA 18201-5740
Phone (570) 501-9108
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA1619029 | Other | PA | BLUE CROSS BLUE SHIELD |
| 818948 | Other | PA | FIRST PRIORITY HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040820000424 | PA | Practitioner - Chiropractic | 3072587609 | Practice locations: Sugarloaf, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
653
93 Masias Chiropractic
Sugarloaf, PA 18249
Phone (570) 501-9108
813 Main St
Sugarloaf, PA 18249-3838
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC009223 | PA | MD | Chiropractor |
| AJ009055 | PA | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Associates of N.E.P.a PC | Chiropractor | Past | Accepting new patients |
| Masias Chiorpractic Health Center | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Hazleton, PA
- NPI 1639206071
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- Chiropractor
- Scranton, PA
- NPI 1275679748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1033202890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 N LOCUST ST",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182015740",
"telephone_number": "570-501-9108",
"fax_number": "570-501-9150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 N LOCUST ST",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182015740",
"telephone_number": "570-501-9108",
"fax_number": "570-501-9150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASIAS",
"first_name": "MICHAEL",
"middle_name": "THEODORE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC009223",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "PA",
"license": "AJ009055",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "MA1619029",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "818948",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hazleton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.