Active NPI
Optimum Wellness & Spine Rehabilitation Center
- Chiropractor
- Fort Pierce, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH9971
- Legal business name
- OPTIMUM WELLNESS & SPINE REHABILITATION CENTER
- Practice address
- 1805 S 25TH St
Fort Pierce, FL 34947-4752 - Phone
- (772) 448-8365
- Fax
- (772) 448-8341
- NPI assigned
- Feb 4, 2015
- Last updated
- Feb 4, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hermione B Jourdan, D.C
- Title
- Owner
- Phone
- (561) 512-5198
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH9971 | FL | Primary |
Addresses
Primary practice location
1805 S 25TH St
Fort Pierce, FL 34947-4752
Mailing address
1805 S. 25TH Street St. B
Fort Pierce, FL 34947
Phone (772) 448-8365
National Provider Directory
National Provider DirectoryLocations
1805 S 25th St
Fort Pierce, FL 34947
Phone (772) 448-8365
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Delray Beach, FL
- NPI 1275850117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423008000000",
"number": "1023408655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 S. 25TH STREET ST. B",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "34947",
"telephone_number": "772-448-8365",
"fax_number": "772-448-8341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 S 25TH ST",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349474752",
"telephone_number": "772-448-8365",
"fax_number": "772-448-8341"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUM WELLNESS & SPINE REHABILITATION CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-04",
"last_updated": "2015-02-04",
"status": "A",
"authorized_official_last_name": "JOURDAN",
"authorized_official_first_name": "HERMIONE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-512-5198",
"authorized_official_credential": "D.C"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH9971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Pierce, FL
- On the Spot Speech Therapy (Accent Envy)
- On Time Transportation and Mobility Services LLC
- Onpoint Telehealth LLC
- Open MRI of America, Inc (tropical mri of the treasure coast)
- Optimum Wellness & Rehabilitation LLC
- Orion Cardiovascular, III
- Carol Orlando-Hayes, M.A./M.S
- Dainelis Ortega Rodriguez
- Orthopaedic Center of Vero Beach P a
- Harriet Ostertag, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.