Individual provider Active NPI

Timothy Molitoris

  • Chiropractor
  • Northampton, MA
National Provider Identifier
1154576460
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3298 Issued in MA
Practice address
32 Masonic St
Northampton, MA 01060-3587
Phone
(413) 570-0438
NPI assigned
Dec 1, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3298 MA Primary

Addresses

Primary practice location

32 Masonic St
Northampton, MA 01060-3587

Mailing address

PO Box 453
Easthampton, MA 01027-0453

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120508000521 MA Practitioner - Chiropractic 0446412472 Reassigns benefits to 1 organization
Practice locations: Northampton, MA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

179 Northampton St
Suite C
Easthampton, MA 01027-1057
Phone (413) 203-5488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3298MAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Structure Enterprises Inc. Chiropractor CurrentSince Apr 1, 2019 Accepting new patients

Locations

179 Northampton St
Ste C
Easthampton, MA 01027
Phone (413) 203-5488

32 Masonic St
Northampton, MA 01060
Phone (413) 329-4191

Organizations & group practices 1

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": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1154576460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 453",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010270453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 MASONIC ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603587",
            "telephone_number": "413-570-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLITORIS",
        "first_name": "TIMOTHY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-01",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.