Individual provider Active NPI

Matthew J. Ritter, D.C.

  • Rehabilitation Chiropractor
  • Bloomsburg, PA
National Provider Identifier
1205897816
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
007930L Issued in PA
Practice address
1239 Old Berwick Rd
Bloomsburg, PA 17815-3023
Phone
(570) 784-3932
Fax
(570) 387-7968
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 007930L PA Primary

Addresses

Primary practice location

1239 Old Berwick Rd
Bloomsburg, PA 17815-3023

Mailing address

1239 Old Berwick Rd
Bloomsburg, PA 17815-3023
Phone (570) 784-3932

Other identifiers 3

IdentifierTypeStateIssuer
0512334000OtherPAINDEPENDENCE BLUE CROSS
468873OtherPAHIGHMARK BLUE SHIELD
01848001OtherPACAPITAL BLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060905000239 PA Practitioner - Chiropractic 5193729242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1239 Old Berwick Rd
Bloomsburg, PA 17815-3023
Phone (570) 784-3932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007930LPAMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
M J Ritter, P.C CurrentSince Feb 23, 2009 Accepting new patients
Earl Ritter, D.C., P.C. PastSince Feb 23, 2009 Accepting new patients

Locations

1239 Old Berwick Rd
Bloomsburg, PA 17815
Phone (570) 784-3932

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1205897816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 OLD BERWICK RD",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178153023",
            "telephone_number": "570-784-3932",
            "fax_number": "570-387-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 OLD BERWICK RD",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178153023",
            "telephone_number": "570-784-3932",
            "fax_number": "570-387-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITTER",
        "first_name": "MATTHEW",
        "middle_name": "J.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "007930L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0512334000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "468873",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "01848001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.