Northwood Sports Medicine & Physical Rehabilitation Inc

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CH6427 Issued in FL

Legal business name

NORTHWOOD SPORTS MEDICINE & PHYSICAL REHABILITATION INC

Doing business as

Anderson Chiropractic Clinic

Practice address

2790 N Military TRL
Suite 1
West Palm Beach, FL 33409-2926

Phone

(561) 683-4971

Fax

(561) 478-4946

NPI assigned

May 1, 2007

Last updated

Oct 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David B Anderson, D.C.NPI 1861474769

Title

Owner

Phone

(561) 683-4971

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Anderson Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Brian Anderson, D.C.

  • Chiropractor
  • W Palm Beach, FL
  • NPI 1861474769
  Medicare reassignment NPD Authorized official
• Eric Anthony Anderson, D.C.

  • Chiropractor
  • Maryville, TN
  • NPI 1891714200
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1003037474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 N MILITARY TRL",
            "address_2": "SUITE 1",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334092926",
            "telephone_number": "561-683-4971",
            "fax_number": "561-478-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 N MILITARY TRL",
            "address_2": "SUITE 1",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334092926",
            "telephone_number": "561-683-4971",
            "fax_number": "561-478-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOOD SPORTS MEDICINE & PHYSICAL REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-683-4971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH6427",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH1504",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381442400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northsouth Medical LLC
• Northstar Dental, Inc.
• Northwell Diagnostic Group LLC
• Northwell Health Medical, Inc
• Northwood Chiropractic Center Corp
• Angela Norton Castriota, MSW
• Jennifer Gay Norton, M.S., P.T.
• Daniel Norzea
• Tiffany Marie Nosse
• Germaine Yeku Noukelak, MD

• Rehabilitation Chiropractor in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Rehabilitation Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.