Individual provider Active NPI

Selwyn Tyrone Tate, DC

  • Chiropractor
  • Somerville, MA
National Provider Identifier
1275305872
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHI3840 Issued in MA
Practice address
14 McGrath Hwy
Everfitness Gym
Somerville, MA 02143
Phone
(508) 322-8179
NPI assigned
Oct 26, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHI3840 MA Primary

Addresses

Primary practice location

14 McGrath Hwy
Everfitness Gym
Somerville, MA 02143

Mailing address

14 McGrath Hwy
Somerville, MA 02143-4505
Phone (508) 322-8179

Other names 1

  • Dr. Tyrone Tate Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240325001437 MA Practitioner - Chiropractic 3375980402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
City University of New York School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barron Chiropractic and Rehabilitation PCGroup PAC ID 6800807439, 2 clinicians

Practice addresses (Care Compare)

1520 Blue Hill Ave
Mattapan, MA 02126-1747
Phone (617) 298-6325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Barron Chiropractic and Rehabilitation PC Chiropractor CurrentSince Feb 4, 2024 Accepting new patients
Be Pain Free PT Inc PastSince Apr 1, 2014 Accepting new patients
Tate Chiropractic & Rehab Chiropractor Past Accepting new patients

Locations

1520 Blue Hill Ave
Mattapan, MA 02126
Phone (617) 298-4603

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, 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": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1275305872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MCGRATH HWY",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021434505",
            "telephone_number": "508-322-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MCGRATH HWY",
            "address_2": "EVERFITNESS GYM",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "02143",
            "telephone_number": "508-322-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "SELWYN",
        "middle_name": "TYRONE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-26",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "CHI3840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYRONE",
            "last_name": "TATE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.