Individual provider Active NPI

Katherine Tambascio, DC

  • Chiropractor
  • Woburn, MA
National Provider Identifier
1124425384
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3705 Issued in MA
Practice address
8 Cedar St Ste 61
Woburn, MA 01801-6362
Phone
(814) 600-9397
Fax
(781) 305-3124
NPI assigned
Dec 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010898 PA
Chiropractor 111N00000X 3705 MA Primary

Addresses

Primary practice location

8 Cedar St Ste 61
Woburn, MA 01801-6362

Mailing address

2796 Lycoming Mall Dr
Muncy, PA 17756-6466
Phone (570) 546-5454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230116000462 MA Practitioner - Chiropractic 9537487079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Performance Through Function PLLCGroup PAC ID 3375913734, 4 clinicians

Practice addresses (Care Compare)

8 Cedar St
Suite 61
Woburn, MA 01801-6362
Phone (781) 460-0939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC010898PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Through Function PLLC Chiropractor CurrentSince Jan 2, 2023 Accepting new patients
Evolved Health Chiropractic & Sports Medicine PLLC Chiropractor CurrentSince Jan 8, 2023 Accepting new patients

Locations

8 Cedar St
Ste 61
Woburn, MA 01801
Phone (781) 460-0939

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1124425384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2796 LYCOMING MALL DR",
            "city": "MUNCY",
            "state": "PA",
            "postal_code": "177566466",
            "telephone_number": "570-546-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CEDAR ST STE 61",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016362",
            "telephone_number": "814-600-9397",
            "fax_number": "781-305-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBASCIO",
        "first_name": "KATHERINE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010898",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.

Verify at the official NPI Registry.