Joseph Michael Fitzpatrick, D.C. – Chiropractor

Key facts

NPI: 1467525147
Entity type: Individual (NPI type 1)
Primary specialty: Chiropractor 111N00000X
License: 1419 (MA)
Practice address: 468 Great Rd
Suite 101
Acton, MA 01720-4187
Phone: (978) 263-5592
Fax: (978) 635-9125
NPI assigned: Nov 17, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

Acton Chiropractic & Rehabilitation, Inc. Chiropractor · Acton, MA · NPI 1881809663

Medicare reassignment NPD Authorized official CHIROPRACTOR · MA

Medicare Care Compare profile

Specialty: Chiropractic
Education: Los Angeles College of Chiropractic, 1989
Medicare assignment: Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

468 Great Rd
Suite 101
Acton, MA 01720-4187
Phone (978) 263-5592

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20060109000812	MA	Practitioner - Chiropractic	5597788208	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
1419	MA	MD	Marriage & Family Therapist

Practice roles

Organization	Specialty	Status	New patients
Acton Chiropractic & Rehabilitation, Inc.	Chiropractor	Current since Jan 9, 2006	Accepting new patients

Locations

1 Acton Pl
Ste 101
Acton, MA 01720
Phone (978) 263-5592

468 Great Rd
Ste 101
Acton, MA 01720
Phone (978) 263-5592

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor	111N00000X	1419	MA	Yes

Addresses

Primary practice location

468 Great Rd
Suite 101
Acton, MA 01720-4187

Mailing address

468 Great Rd
Suite 101
Acton, MA 01720-4187
Phone (978) 263-5592

Other identifiers

Identifier	Type	State	Issuer
759438	Other		TUFTS HEALTH PLAN
350085	Other	MA	HARVARD PILGRIM HEALTH CA
4268481	Other		AETNA
Y45971	Other	MA	BLUE CROSS BLUE SHIELD
4404375	Other		UNITED HEALTHCARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 3, 2016.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1467525147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 GREAT RD",
            "address_2": "SUITE 101",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017204187",
            "telephone_number": "978-263-5592",
            "fax_number": "978-635-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 GREAT RD",
            "address_2": "SUITE 101",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017204187",
            "telephone_number": "978-263-5592",
            "fax_number": "978-635-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "759438",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CA",
            "identifier": "350085",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4268481",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y45971",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "4404375",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

All providers in Acton, MA · Chiropractor in Massachusetts

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.