BAY STATE CHIROPRACTIC & SPORTS INJURIES, INC. — NPI 1043489313 (Licensed & Credentialed Chiropractic Providers — Chiropractor, Sports Physician in MIDDLETON, MA)

CMS-1500 Box 24J / 33a • NPI

1043489313

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

111NS0005X (CMS 35)

Licensed & Credentialed Chiropractic Providers — Chiropractor, Sports Physician

Box 32 Service Location & ZIP+4

69 S MAIN ST, MIDDLETON, MA, 01949-2213

✓ 9-Digit EDI 837 ZIP+4 (01949-2213)

Practice Phone & Referral Fax

(978) 777-2737

Fax: (978) 777-5351

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1043489313 (BAY STATE CHIROPRACTIC & SPORTS INJURIES, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1043489313` (NPI-2 Organization / Facility)
Provider / Legal Name	BAY STATE CHIROPRACTIC & SPORTS INJURIES, INC.
Plain-English Specialty	Licensed & Credentialed Chiropractic Providers — Chiropractor, Sports Physician NUCC Code: `111NS0005X` (Chiropractor, Sports Physician)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	69 S MAIN ST, MIDDLETON, MA, 01949-2213
Practice Telephone / Fax	Tel: (978) 777-2737 \| Fax: (978) 777-5351
Administrative Mailing Address	283 S BROADWAY, LAWRENCE, MA, 01843-2631
Enumeration & Last Sync	Enumerated: 2008-02-21 \| CMS Record Updated: 2008-02-21
Authorized Official	MICHAEL DIMAURO (President/owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

69 S MAIN ST, MIDDLETON, MA, 01949-2213

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Plain-English Taxonomy & CMS Crosswalk (111NS0005X)

What Does Taxonomy Code 111NS0005X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 111NS0005X translates to:
"Licensed & Credentialed Chiropractic Providers — Chiropractor, Sports Physician"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 35 (Chiropractic)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Chiropractor, Sports Physician for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BAY STATE CHIROPRACTIC & SPORTS INJURIES, INC.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`111NS0005X` — Chiropractor, Sports Physician Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Sports Physician	State: MA \| License: `1905` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BAY STATE CHIROPRACTIC & SPORTS INJURIES, INC. (NPI #1043489313)