Individual provider Active NPI

Matthew Washko, D.C.

  • Chiropractor
  • Boca Raton, FL
National Provider Identifier
1649717802
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12079 Issued in FL
Practice address
2499 Glades Rd
210
Boca Raton, FL 33431-7209
Phone
(561) 513-8380
NPI assigned
Jan 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12079 FL Primary

Addresses

Primary practice location

2499 Glades Rd
210
Boca Raton, FL 33431-7209

Mailing address

2686 Monroeville Blvd
Monroeville, PA 15146-2302
Phone (412) 372-3772

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240730000873 PA Practitioner - Chiropractic 7618246216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Medical Centers LLCGroup PAC ID 0749461481, 5 clinicians

Practice addresses (Care Compare)

3540 Washington Rd
Canonsburg, PA 15317-2957
Phone (724) 941-0707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH12079FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Medical Centers LLC Chiropractor CurrentSince May 20, 2024 Accepting new patients
Ronald J Gretz DC PC Chiropractor PastSince Oct 22, 2019 Accepting new patients

Locations

3540 Washington Rd
McMurray, PA 15317
Phone (724) 941-0707

9000 Perry Hwy
Fl 2
Pittsburgh, PA 15237
Phone (724) 941-0707

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1649717802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2686 MONROEVILLE BLVD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462302",
            "telephone_number": "412-372-3772",
            "fax_number": "412-372-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 GLADES RD",
            "address_2": "210",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317209",
            "telephone_number": "561-513-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHKO",
        "first_name": "MATTHEW",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-26",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.