Matthew Rauco, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

14069 Issued in FL

Practice address

10915 Baymeadows Rd Ste 104
Jacksonville, FL 32256-9131

Phone

(904) 312-7575

NPI assigned

Aug 4, 2022

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 FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

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

• Fortitude Family Chiropractic LLC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1629705132
  Medicare reassignment NPD Authorized official
• Baymeadows Injury & Wellness LLC

  • Physical Medicine & Rehabilitation Physician
  • Jacksonville, FL
  • NPI 1528519287

  Chiropractor

  NPD

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1417684994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 HUNTINGTON FOREST BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322577570",
            "telephone_number": "904-316-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10915 BAYMEADOWS RD STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569131",
            "telephone_number": "904-312-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUCO",
        "first_name": "MATTHEW",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "14069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rattos Pure Transport
• Robert Ratzlaff, DO
• Laurie Ellen Rau, MA, CCC-SLP
• Kyle Rauch, MD
• Alan Ivan Rauchwarger, OD
• Raul Orta MD PA
• Toni Raulerson, CRTT
• Elizabeth Rauschenberger, MD
• Megan Rauth, M.A. CF-SLP
• Leslie Chua Ravago, M.D.

• Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.