Individual provider Active NPI

Matthew Coury, DC

  • Chiropractor
  • Rostraver Township, PA
National Provider Identifier
1881259232
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011573 Issued in PA
Practice address
100 Peasant Village LN Ste 101
Rostraver Township, PA 15012-4333
Phone
(407) 402-2376
NPI assigned
May 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003081A IN
Chiropractor 111N00000X DC011573 PA 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
Phone (407) 402-2376

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220509000573 PA Practitioner - Chiropractic 8527484062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Peasant Village LN
Suite 101
Rostraver Township, PA 15012-4333
Phone (724) 366-9624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08003081AINMDChiropractor
DC011573PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Max Wellness LLC Chiropractor CurrentSince Mar 1, 2023 Accepting new patients
Hendricks Chiropractic PC Chiropractor PastSince May 22, 2007 Accepting new patients
GG Group LLC Chiropractor PastSince Sep 13, 2020 Accepting new patients

Locations

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

Organizations & group practices 3

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": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1881259232",
    "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",
            "telephone_number": "407-402-2376"
        },
        {
            "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": {
        "last_name": "COURY",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-01",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003081A",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 4, 2023; 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.