Individual provider Active NPI

Patrick Lee Mathis, D.C.

  • Chiropractor
  • Corry, PA
National Provider Identifier
1467531046
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011985 Issued in PA
Practice address
110 E Columbus Ave
Corry, PA 16407-1340
Phone
(814) 462-1163
NPI assigned
Nov 3, 2006
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC011985 PA Primary

Addresses

Primary practice location

110 E Columbus Ave
Corry, PA 16407-1340

Mailing address

2921 W 26TH St
Erie, PA 16506-2501
Phone (814) 459-2580

Other practice location 1

1990 Nagle Rd
Erie, PA 16510-2128
Phone (814) 899-6199

Other practice location 2

2921 W 26th St
Erie, PA 16506-2501
Phone (814) 459-2580

Other practice location 3

11581 Pennsylvania Ave # 98
Meadville, PA 16335-6247
Phone (814) 336-3434

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241220002306 PA Practitioner - Chiropractic 1456456912 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Iadeluca Chiropractic Center Inc Chiropractor CurrentSince Nov 4, 2024 Accepting new patients
Iadeluca Chiropractic Center Meadville PC Chiropractor CurrentSince Apr 6, 2025 Accepting new patients
Iadeluca Chiropractic Center Corry PC Chiropractor Past Accepting new patients

Locations

2921 W 26th St
Erie, PA 16506
Phone (814) 459-2580

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1467531046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 W 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165062501",
            "telephone_number": "814-459-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E COLUMBUS AVE",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071340",
            "telephone_number": "814-462-1163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1990 Nagle Rd",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165102128",
            "country_code": "US",
            "telephone_number": "814-899-6199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2921 W 26th St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165062501",
            "country_code": "US",
            "telephone_number": "814-459-2580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11581 Pennsylvania Ave # 98",
            "address_purpose": "LOCATION",
            "city": "Meadville",
            "state": "PA",
            "postal_code": "163356247",
            "country_code": "US",
            "telephone_number": "814-336-3434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "PATRICK",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corry, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.