Organization Active NPI

Max Wellness LLC

  • Chiropractor
  • Rostraver Township, PA
National Provider Identifier
1760195846
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MAX WELLNESS LLC
Practice address
100 Peasant Village LN Ste 101
Rostraver Township, PA 15012-4333
Phone
(407) 402-2376
NPI assigned
Jan 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Authorized official

Name
Matthew Coury, DCNPI 1881259232
Title
Chiropractor
Phone
(407) 402-2376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

100 Peasant Village LN Ste 101
Rostraver Township, PA 15012-4333

Mailing address

924 Morgan St
Belle Vernon, PA 15012-2167

Other names 1

  • ProHealth Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230403002733 PA Part B Supplier - Clinic/Group Practice 4082089115 Receives reassigned benefits from 1 practitioner
Practice locations: Rostraver Township, PA

National Provider Directory

National Provider Directory

Locations

100 Peasant Village Ln
Ste 101
Rostraver Township, PA 15012
Phone (407) 402-2376

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1760195846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 MORGAN ST",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150122167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PEASANT VILLAGE LN STE 101",
            "city": "ROSTRAVER TOWNSHIP",
            "state": "PA",
            "postal_code": "150124333",
            "telephone_number": "407-402-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "COURY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "407-402-2376",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProHealth Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rostraver Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.