Nelson Chiropractic & Rehabilitation LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

CH9995 Issued in FL

Legal business name

NELSON CHIROPRACTIC & REHABILITATION LLC

Practice address

905 W Ventura Ave
Clewiston, FL 33440-3411

Phone

(863) 983-8391

Fax

(863) 983-2283

NPI assigned

Jan 8, 2011

Last updated

Jan 25, 2013By 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

Ryan Nelson, DCNPI 1902124688

Title

President

Phone

(863) 983-8391

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Ryan Turner Nelson, D.C.

  • Chiropractor
  • Clewiston, FL
  • NPI 1902124688
  Medicare reassignment Care Compare group NPD Authorized official
• Frank Peter Diblase, D.C

  • Chiropractor
  • Fort Myers, FL
  • NPI 1043258601
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1294444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1003110818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 W VENTURA AVE",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334403411",
            "telephone_number": "863-983-8291",
            "fax_number": "863-983-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 W VENTURA AVE",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334403411",
            "telephone_number": "863-983-8391",
            "fax_number": "863-983-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON CHIROPRACTIC & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-08",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-983-8391",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "CH9995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002282701",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mailyn Morales
• Rosana Morales, PHARM.D.
• Naples Injury Center #2 Inc
• National Vision, Inc.
• Shaun Nazar, D.O.
• Ryan Turner Nelson, D.C.
• Neuronest Behavioral Support LLC
• Nqo Starservices Corp
• Udayashree Nune, MD
• Nuway Home Care LLC

• Preferred Provider Organization in Clewiston, FL
• Providers in Clewiston, FL by specialty
• Preferred Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.