Organization Active NPI

Stronglife Chiropractic & Natural Health, P.a.

  • Rehabilitation Chiropractor
  • Lithia, FL
National Provider Identifier
1013293869
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CH9598 Issued in FL
Legal business name
STRONGLIFE CHIROPRACTIC & NATURAL HEALTH, P.A.
Practice address
5618 Fishhawk Crossing Blvd
Lithia, FL 33547-5900
Phone
(813) 655-5433
Fax
(813) 655-5488
NPI assigned
Oct 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Authorized official

Name
Dr. Justin Ryan Scott, DCNPI 1295994747
Title
President
Phone
(813) 655-5433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X CH9598 FL Primary

Addresses

Primary practice location

5618 Fishhawk Crossing Blvd
Lithia, FL 33547-5900

Mailing address

5618 Fishhawk Crossing Blvd
Lithia, FL 33547-5900
Phone (813) 655-5433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200902000063 FL Part B Supplier - Clinic/Group Practice 7719304930 Receives reassigned benefits from 3 practitioners
Practice locations: Lithia, FL

National Provider Directory

National Provider Directory

Locations

5618 Fishhawk Crossing Blvd
Lithia, FL 33547
Phone (813) 655-5433

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1013293869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5618 FISHHAWK CROSSING BLVD",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335475900",
            "telephone_number": "813-655-5433",
            "fax_number": "813-655-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5618 FISHHAWK CROSSING BLVD",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335475900",
            "telephone_number": "813-655-5433",
            "fax_number": "813-655-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRONGLIFE CHIROPRACTIC & NATURAL HEALTH, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-655-5433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH9598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithia, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.