Acton Chiropractic & Rehabilitation, Inc.
Organization Active NPI Chiropractor · Acton, MA
NPI 1881809663 · NPPES record last updated Oct 4, 2007
Key facts
- NPI
- 1881809663
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1419 (MA)
- Legal business name
- ACTON CHIROPRACTIC & REHABILITATION, INC.
- Practice address
- 1 Acton PL
Suite 101
Acton, MA 01720-3951 - Phone
- (978) 263-5592
- Fax
- (978) 635-9125
- NPI assigned
- May 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Joseph Michael Fitzpatrick, D.C.
- Title
- President
- Phone
- (978) 263-5592
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060109000894 | MA | Part B Supplier - Clinic/Group Practice | 2961425681 |
Receives reassigned benefits from 1 practitioner Practice locations: Acton, MA |
National Provider Directory
Locations
468 Great Rd
Ste 101
Acton, MA 01720
Phone (978) 263-5592
1 Acton Pl
Ste 101
Acton, MA 01720
Phone (978) 263-5592
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 1419 | MA | Yes |
Addresses
Primary practice location
1 Acton PL
Suite 101
Acton, MA 01720-3951
Mailing address
1 Acton PL
Suite 101
Acton, MA 01720-3951
Phone (978) 263-5592
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y39364 | Other | MA | BLUE CROSS BLUE SHIELD |
Other providers in Acton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2007. 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.