Individual provider Active NPI

Steven Carrollton

  • Sports Physician Chiropractor
  • Port St Lucie, FL
National Provider Identifier
1043419740
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CH4279 Issued in FL
Practice address
1680 SE Lyngate Dr Ste 103
Port St Lucie, FL 34952-4300
Phone
(772) 337-9847
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X CH4279 FL Primary

Addresses

Primary practice location

1680 SE Lyngate Dr Ste 103
Port St Lucie, FL 34952-4300

Mailing address

1680 SE Lyngate Dr Ste 103
Port St Lucie, FL 34952-4300
Phone (772) 337-9847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH4279FLMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Papa DC PA CurrentSince Feb 21, 2011 Accepting new patients
Michael Papa,D.C.,P.a. CurrentSince Feb 21, 2011 Accepting new patients

Locations

2632 W Indiantown Rd
Jupiter, FL 33458
Phone (561) 437-4310

9089 N Military Trl
Ste 37
Palm Beach Gardens, FL 33410
Phone (561) 463-3815

10377 S US Highway 1
Ste 101
Port St Lucie, FL 34952
Phone (772) 337-1300

Networks

  • Freedom Health HMO Network

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1043419740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 SE LYNGATE DR STE 103",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349524300",
            "telephone_number": "772-337-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 SE LYNGATE DR STE 103",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349524300",
            "telephone_number": "772-337-9847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLLTON",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH4279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.