Individual provider Active NPI

Matt Nicastro, D.C.

  • Chiropractor
  • Carlisle, PA
National Provider Identifier
1306815568
Registry record updated Jun 12, 2024
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(3) exclusion effective Mar 18, 2010.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-7102 Issued in PA
Practice address
1787 W Trindle Rd Ste 302
Carlisle, PA 17015-9602
Phone
(717) 385-4589
NPI assigned
Mar 17, 2006
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-7102 PA Primary

Addresses

Primary practice location

1787 W Trindle Rd Ste 302
Carlisle, PA 17015-9602

Mailing address

1787 W Trindle Rd Ste 302
Carlisle, PA 17015-9602
Phone (717) 385-4589

Other identifiers 1

IdentifierTypeStateIssuer
01751094-01MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
DC-7102PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Iron Haven Gym & Chiropractic Chiropractor Past Accepting new patients
Harmony in Motion Speech & Physical Therapy LLC Physical Therapist PastSince Aug 15, 2019 Accepting new patients

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1306815568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1787 W TRINDLE RD STE 302",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170159602",
            "telephone_number": "717-385-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 W TRINDLE RD STE 302",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170159602",
            "telephone_number": "717-385-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICASTRO",
        "first_name": "MATT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-7102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01751094-01",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.