Individual provider Active NPI

Kathleen McLuckie, DC

  • Chiropractor
  • Cranberry Township, PA
National Provider Identifier
1710555313
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011654 Issued in PA
Practice address
730 Parkwood Dr
Cranberry Township, PA 16066-6312
Phone
(724) 581-1747
NPI assigned
Jun 11, 2021
Last updated
Aug 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011654 PA Primary

Addresses

Primary practice location

730 Parkwood Dr
Cranberry Township, PA 16066-6312

Mailing address

730 Parkwood Dr
Cranberry Township, PA 16066-6312
Phone (724) 742-0105

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211217000584 PA Practitioner - Chiropractic 8820489370 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zock Family Chiropractic LLCGroup PAC ID 7517113350, 3 clinicians

Practice addresses (Care Compare)

167 Main St
Imperial, PA 15126-1018
Phone (724) 218-3325

730 Parkwood Dr
Suite 500
Cranberry Township, PA 16066-6307
Phone (917) 557-2234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lucky Chiropractic LLC Chiropractor CurrentSince Jun 15, 2023 Accepting new patients
Zock Family Chiropractic LLC CurrentSince Sep 14, 2021 Accepting new patients

Locations

730 Parkwood Dr
Cranberry Twp, PA 16066
Phone (724) 779-4334

730 Parkwood Dr
Ste 500
Cranberry Twp, PA 16066
Phone (724) 581-1747

167 Main St
Imperial, PA 15126
Phone (724) 218-3325

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, 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": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1710555313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 PARKWOOD DR",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160666312",
            "telephone_number": "724-742-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 PARKWOOD DR",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160666312",
            "telephone_number": "724-581-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLUCKIE",
        "first_name": "KATHLEEN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.