Individual provider Active NPI

Matthew Glenn Cook, DC

  • Chiropractor
  • Wexford, PA
National Provider Identifier
1477757284
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009800 Issued in PA
Practice address
119 Neely School Rd
Wexford, PA 15090-7674
Phone
(412) 847-0066
Fax
(412) 847-0067
NPI assigned
Jun 14, 2007
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009800 PA Primary

Addresses

Primary practice location

119 Neely School Rd
Wexford, PA 15090-7674

Mailing address

119 Neely School Rd
Wexford, PA 15090-7674
Phone (412) 847-0066

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071001000736 PA Practitioner - Chiropractic 6103911458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

119 Neely School Rd
Wexford, PA 15090-7674
Phone (412) 847-0066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Sports Chiropractic and Rehabilitation Chiropractor CurrentSince Sep 1, 2023 Accepting new patients
Genesis Medical Associates, Inc. Chiropractor Past Accepting new patients
Genesis Medical Associates, Inc. Past Accepting new patients

Locations

119 Neely School Rd
Wexford, PA 15090
Phone (412) 847-0066

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1477757284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 NEELY SCHOOL RD",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907674",
            "telephone_number": "412-847-0066",
            "fax_number": "412-847-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 NEELY SCHOOL RD",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907674",
            "telephone_number": "412-847-0066",
            "fax_number": "412-847-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "MATTHEW",
        "middle_name": "GLENN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.