Toby Richard Dattolo, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13891 Issued in FL

Practice address

201 N US Highway 1 Ste C6
Jupiter, FL 33477-5106

Phone

(561) 855-0668

NPI assigned

Jan 24, 2022

Last updated

Jan 24, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifeclinic Physical Therapy and Chiropractic LLCGroup PAC ID 7214222793, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lifeclinic Physical Therapy & Chiropractic LLC

  • Chiropractor
  • Coral Gables, FL
  • NPI 1679937601
  Medicare reassignment Care Compare group NPD
• Dattolo Integrated Medicine LLC

  dba Boundless Performance Medicine

  • Chiropractor
  • Jupiter, FL
  • NPI 1659027530
  NPD Authorized official

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1013669886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N US HIGHWAY 1 STE C6",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775106",
            "telephone_number": "561-855-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N US HIGHWAY 1 STE C6",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775106",
            "telephone_number": "561-855-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATTOLO",
        "first_name": "TOBY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "13891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary Danielovich, LCSW
• Christopher Darcey, M.D.
• Michael Craig Darling, PT
• Dattolo Integrated Medicine LLC (Boundless Performance Medicine)
• Therese Dattolo, DTCM, L.AC
• Elizabeth Davaro, MD
• Brianna Davenport, HHP, NTP
• David C Nunley Radiology Inc
• David Campbell MD PA (Campbell Gleiber Musso Spine Surgery Associates)
• David S Rondon MD PA

• Chiropractor in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.