Patrick Engracia, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S03761 Issued in MD

Practice address

9300 Livingston Road
Suite 100
Fort Washington, MD 20744

Phone

(240) 766-0300

Fax

(240) 766-0301

NPI assigned

Nov 27, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pro Sport and Spine PLLCGroup PAC ID 1658656384, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pro Sport and Spine PLLC

  • Sports Physician Chiropractor
  • Gig Harbor, WA
  • NPI 1841672433
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1295166353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9630 MILE STONE WAY",
            "address_2": "APT 3058",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "20740",
            "telephone_number": "240-766-0300",
            "fax_number": "240-766-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 LIVINGSTON ROAD",
            "address_2": "SUITE 100",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "20744",
            "telephone_number": "240-766-0300",
            "fax_number": "240-766-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGRACIA",
        "first_name": "PATRICK",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Fort Washington, MD
• Providers in Fort Washington, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.