Individual provider Active NPI

Aidan Scott Martin, DC

  • Chiropractor
  • Port Saint Lucie, FL
National Provider Identifier
1033086483
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH15646 Issued in FL
Practice address
1066 SW Gatlin Blvd
Port Saint Lucie, FL 34953-3223
Phone
(772) 324-9337
Fax
(772) 324-9347
NPI assigned
Oct 21, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH15646 FL Primary

Addresses

Primary practice location

1066 SW Gatlin Blvd
Port Saint Lucie, FL 34953-3223

Mailing address

1066 SW Gatlin Blvd
Port Saint Lucie, FL 34953-3223
Phone (772) 324-9337

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251103002842 FL Practitioner - Chiropractic 1355831967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3252 NW 47TH Ave
Coconut Creek, FL 33063-1801

641 NW Sunset Dr
Stuart, FL 34994-7612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH15646FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Action Medical Center LLC CurrentSince Oct 24, 2025 Accepting new patients
Back in Action Medical Center LLC CurrentSince Oct 24, 2025 Accepting new patients

Locations

2351 SW Martin Hwy
Palm City, FL 34990
Phone (772) 324-8337

1066 SW Gatlin Blvd
Port St Lucie, FL 34953
Phone (772) 324-9337

Networks

  • FL PPO

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCBABD

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1033086483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 SW GATLIN BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349533223",
            "telephone_number": "772-324-9337",
            "fax_number": "772-324-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 SW GATLIN BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349533223",
            "telephone_number": "772-324-9337",
            "fax_number": "772-324-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "AIDAN",
        "middle_name": "SCOTT",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH15646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.