Massachusetts Chiropractic and Performance Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3272 Issued in MA

Legal business name

MASSACHUSETTS CHIROPRACTIC AND PERFORMANCE CENTER

Practice address

244 Walton St
Fitchburg, MA 01420-5329

Phone

(508) 320-9171

NPI assigned

Aug 18, 2016

Organization subpart

No

Name

Dr. Christopher Petracco, D.C.NPI 1295054294

Title

Owner, Doctor

Phone

(978) 413-0196

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Petracco, D.C.

  • Chiropractor
  • Sterling, MA
  • NPI 1295054294
  Medicare reassignment Care Compare group NPD Authorized official CHIROPRACTOR · MA
• Laurissa CS Simms, D.C.

  • Chiropractor
  • Leominster, MA
  • NPI 1174606883
  Medicare reassignment Care Compare group NPD CHIROPRACTOR · MA
• Mark J McKenna, DC

  • Chiropractor
  • Piscataway, NJ
  • NPI 1508435538
  Medicare reassignment Care Compare group NPD CHIROPRACTOR · MA

Medicare fee-for-service enrollment

Enrolled in MA

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 16, 2016.

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1124573126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 WALTON ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014205329",
            "telephone_number": "508-320-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 WALTON ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014205329",
            "telephone_number": "508-320-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSACHUSETTS CHIROPRACTIC AND PERFORMANCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "PETRACCO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER, DOCTOR",
        "authorized_official_telephone_number": "978-413-0196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debora Marrero
• Wesley Andrews Marshall, BS
• Gavin Spencer Martin, MD, MA
• Stephen Kinzer Martin
• Rebeca Martinez-Rivera
• Christopher Masse, DMD
• Tara Masseratagah, M.A.
• Brian Matheson, BS
• Lijy Mathew, NP
• Matthew J Matos

• All providers in Fitchburg, MA
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.