Matthew Robert Cecchetti, D.C.
Individual provider Active NPI Chiropractor · Mars, PA
NPI 1174544985 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1174544985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC009518 (PA)
- Practice address
- 7031 Crider Rd
Suite 102
Mars, PA 16046-2385 - Phone
- (724) 625-6325
- Fax
- (724) 625-6328
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061026000161 | PA | Practitioner - Chiropractic | 9133126675 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Family Chiropractic, LLC | Chiropractor | Current |
Accepting new patients |
Locations
7031 Crider Rd
Ste 102
Mars, PA 16046
Phone (724) 625-6325
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC009518 | PA | Yes |
Addresses
Primary practice location
7031 Crider Rd
Suite 102
Mars, PA 16046-2385
Mailing address
7031 Crider Rd
Suite 102
Mars, PA 16046-2385
Phone (724) 625-6325
Other providers in Mars, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.