STATE STREET FAMILY CHIROPRACTIC
NPI 1972723641
Chiropractor in Marysville, WA
About State Street Family Chiropractic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STATE STREET FAMILY CHIROPRACTIC (NPI 1972723641) is a healthcare organization registered as a chiropractor in Marysville, Washington and active in the NPI registry since April 2007. The organization lists Gordon A Myco, Chiropractor Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
State Street Family Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to State Street Family Chiropractic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Ssfc Ps's NPI number?
The NPI number for Ssfc Ps is 1972723641. It was assigned to this organization in the NPPES registry on April 26, 2007. The provider is doing business as State Street Family Chiropractic.
Where is Ssfc Ps located?
Ssfc Ps is located at 919 State Ave Ste 102, Marysville, WA 98270. The listed phone number is (360) 653-6010.
What is Ssfc Ps's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Ssfc Ps enrolled in Medicare?
Yes. Ssfc Ps is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ssfc Ps?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Ssfc Ps. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ssfc Ps was last updated on January 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.
# State Street Family Chiropractic · NPI 1972723641
Chiropractor organization in Marysville, Washington. Organization record, active in the CMS NPPES registry since April 26, 2007.
## Identity
- **NPI:** 1972723641 (Entity type: Organization)
- **Enumerated:** April 26, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Legal business name:** Ssfc Ps
- **Organization subpart:** No
- **Authorized official:** Gordon Myco, CHIROPRACTOR OWNER
## Practice location
- **Address:** 919 STATE AVE STE 102, Marysville, WA 98270-4284
- **Phone:** (360) 653-6010 · **Fax:** (360) 653-6008
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 6, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1972723641) · Data from the CMS NPPES public registry.