Individual provider Active NPI

Matthew Intile, DC

  • Chiropractor
  • Bradenton, FL
National Provider Identifier
1780272773
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13353 Issued in FL
Practice address
408 Manatee Ave E
Bradenton, FL 34208-1135
Phone
(941) 426-9551
Fax
(941) 426-9552
NPI assigned
Jan 5, 2021
Last updated
Jan 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13353 FL Primary

Addresses

Primary practice location

408 Manatee Ave E
Bradenton, FL 34208-1135

Mailing address

12511 Tamiami TRL S
North Port, FL 34287-1446
Phone (941) 426-9551

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL help.grappinclinic@gmail.com Grappin Clinic of Chiropractic PA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210817002702 FL Practitioner - Chiropractic 6901201722 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grappin Clinic of Chiropractic PA Chiropractor CurrentSince Aug 12, 2021 Accepting new patients

Locations

347 6th Ave W
Bradenton, FL 34205

12511 Tamiami Trl S
North Port, FL 34287
Phone (813) 426-9551

Organizations & group practices 1

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": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1780272773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12511 TAMIAMI TRL S",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342871446",
            "telephone_number": "941-426-9551",
            "fax_number": "941-426-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081135",
            "telephone_number": "941-426-9551",
            "fax_number": "941-426-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INTILE",
        "first_name": "MATTHEW",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "help.grappinclinic@gmail.com",
            "affiliation": "Y",
            "affiliationName": "Grappin Clinic of Chiropractic PA",
            "address_1": "408 Manatee Ave E",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342081135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.