Individual provider Active NPI

Matthew Joseph Uhrik, D.C., M.S., M.S.

  • Chiropractor
  • Fruitland Park, FL
National Provider Identifier
1194267278
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11785 Issued in FL
Practice address
1217 W Miller St Ste 1
Fruitland Park, FL 34731-3029
Phone
(352) 750-0277
Fax
(352) 260-0240
NPI assigned
Nov 7, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH11785 FL Primary

Addresses

Primary practice location

1217 W Miller St Ste 1
Fruitland Park, FL 34731-3029

Mailing address

1217 W Miller St Ste 1
Fruitland Park, FL 34731-3029
Phone (352) 750-0277

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drmatt@rssfla.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200421000709 FL Practitioner - Chiropractic 8325478019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Lake Wellness and Injury Center, PLGroup PAC ID 5395707913, 3 clinicians

Practice addresses (Care Compare)

2745 Citrus Tower Blvd
Clermont, FL 34711-6699
Phone (352) 241-4111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Square Chiropractic, P.a. Chiropractor PastSince Jul 27, 2020 Accepting new patients
Ronald B. Moussette DC, PA Chiropractor PastSince Sep 1, 2020 Accepting new patients

Organizations & group practices 3

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": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1194267278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 W MILLER ST STE 1",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347313029",
            "telephone_number": "352-750-0277",
            "fax_number": "352-260-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 W MILLER ST STE 1",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347313029",
            "telephone_number": "352-750-0277",
            "fax_number": "352-260-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UHRIK",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C., M.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-07",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drmatt@rssfla.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1217 W Miller St Ste 1",
            "city": "Fruitland Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347313029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fruitland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.