LEARY SPORT AND SPINE CHIROPRACTIC
NPI 1821364365
Chiropractor in Apple Valley, CA
About Leary Sport And Spine Chiropractic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEARY SPORT AND SPINE CHIROPRACTIC (NPI 1821364365) is a healthcare organization registered as a chiropractor in Apple Valley, California and active in the NPI registry since March 2012. The organization lists Matthew D Leary, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Leary Sport And Spine Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Leary Sport And Spine Chiropractic, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Leary Sport And Spine Chiropractic's NPI number?
The NPI number for Leary Sport And Spine Chiropractic is 1821364365. It was assigned to this organization in the NPPES registry on March 29, 2012.
Where is Leary Sport And Spine Chiropractic located?
Leary Sport And Spine Chiropractic is located at 16049 Tuscola Rd Ste B, Apple Valley, CA 92307. The listed phone number is (760) 242-4111.
What is Leary Sport And Spine Chiropractic's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Leary Sport And Spine Chiropractic enrolled in Medicare?
Yes. Leary Sport And Spine Chiropractic is registered in the Medicare PECOS enrollment system.
When is Leary Sport And Spine Chiropractic's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Leary Sport And Spine Chiropractic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Leary Sport And Spine Chiropractic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Leary Sport And Spine Chiropractic was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Leary Sport And Spine Chiropractic · NPI 1821364365
Chiropractor organization in Apple Valley, California. Organization record, active in the CMS NPPES registry since March 29, 2012.
## Identity
- **NPI:** 1821364365 (Entity type: Organization)
- **Enumerated:** March 29, 2012
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Matthew Leary, OWNER
## Practice location
- **Address:** 16049 TUSCOLA RD STE B, Apple Valley, CA 92307-0824
- **Phone:** (760) 242-4111 · **Fax:** (760) 242-4555
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1821364365) · Data from the CMS NPPES public registry.