Matthew John Tavolacci, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10273 Issued in FL

Practice address

12797 Forest Hill Blvd
Suite B
Wellington, FL 33414-4763

Phone

(561) 793-5550

Fax

(561) 793-5788

NPI assigned

Mar 28, 2010

Last updated

Aug 30, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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.

• Wellington Physical Therapy Inc

  • Physical Therapist
  • Wellington, FL
  • NPI 1790842854

  Chiropractor

  Medicare reassignment NPD Authorized official
• Dr. Matthew J. Tavolacci DC, LLC

  • Chiropractor
  • Wellington, FL
  • NPI 1538440326
  Authorized official Same address or phone
• Wellington Chiropractic Center of PBC

  • Chiropractor
  • Wellington, FL
  • NPI 1699057083
  Authorized official Same address or phone

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

{
    "created_epoch": "1269734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1558686014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12797 FOREST HILL BLVD",
            "address_2": "SUITE B",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144763",
            "telephone_number": "561-793-5550",
            "fax_number": "561-793-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12797 FOREST HILL BLVD",
            "address_2": "SUITE B",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144763",
            "telephone_number": "561-793-5550",
            "fax_number": "561-793-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVOLACCI",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-28",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008631",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalini Tailor
• Tampa General Provider Network Inc
• Tampa General Provider Network Inc
• Kenji Tamparia
• Derek James Tams
• Sherry Mina Moreed Tawadros
• Jacob Taylor, PHARMD
• Jamie Taylor, APRN
• Taylors Adult Home Care Inc, (Taylorsadult Home Care at Wellington)
• Tboa (homewatch caregivers of west palm beach)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.