D&M Chiropractic and Therapeutic Rehab Inc
Organization Active NPI Chiropractor · Upper St Clair, PA
NPI 1871554980 · NPPES record last updated Apr 29, 2026
Key facts
- NPI
- 1871554980
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC009132 (PA)
- Legal business name
- D&M CHIROPRACTIC AND THERAPEUTIC REHAB INC
- Practice address
- 2589 Washington Rd Ste 410
Upper St Clair, PA 15241-2566 - Phone
- (412) 833-1101
- Fax
- (412) 833-1075
- NPI assigned
- Mar 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Marc L Micucci, DC
- Title
- Owner
- Phone
- (412) 833-1101
Practitioners 3
-
Deana Micucci, D.C.
-
Marc L Micucci, D.C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050203000224 | PA | Part B Supplier - Clinic/Group Practice | 6507817962 |
Receives reassigned benefits from 2 practitioners Practice locations: Upper St Clair, PA |
National Provider Directory
Locations
2555 Washington Rd
Ste 620
Upper St Clair, PA 15241
Phone (412) 833-1101
2589 Washington Rd
Ste 410
Uppr St Clair, PA 15241
Phone (412) 833-1101
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | DC009132 | PA | Yes |
Addresses
Primary practice location
2589 Washington Rd Ste 410
Upper St Clair, PA 15241-2566
Mailing address
2589 Washington Rd Ste 410
Upper St Clair, PA 15241-2566
Phone (412) 833-1101
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013693110001 | Medicaid | PA |
Other names
- D&M Chiropractic
Other providers in Upper St Clair, PA
- Baywood Consulting LTD
- Rebecca Berton
- Janaya Carlisle
- Philip Carstens
- Heather Curry
- Christine Emily Deandrea
- Nina Sherwood Debiasio
- Kristi Marie Drake
- Elevated Oral & Implant Surgery, P.C.
- Madelyn Gentile
All providers in Upper St Clair, PA · Chiropractor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.