Kyle Pitstick, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 12089 Issued in FL

Practice address

2711 W State Road 434
Longwood, FL 32779-4880

Phone

(407) 774-3311

NPI assigned

Feb 27, 2017

Last updated

Aug 10, 2020By 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

Palmer College Chiropractic - Davenport, 2016

Medicare assignment

May accept Medicare assignment

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.

• Horizon West Chiropractic LLC

  dba Explore Chiropractic Longwood

  • Chiropractor
  • Longwood, FL
  • NPI 1235749748
  Medicare reassignment NPD Authorized official
• Kimberly Watson, D.C., P.a.

  • Chiropractor
  • Longwood, FL
  • NPI 1316494743
  NPD (past)

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1053851956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 W STATE ROAD 434",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794880",
            "telephone_number": "407-774-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 W STATE ROAD 434",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794880",
            "telephone_number": "407-774-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITSTICK",
        "first_name": "KYLE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-27",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 12089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadidra Phipps
• Trisha Phoupardit
• Physician Associates LLC
• Jessica Lynn Pickell, DDS
• Zacharie Luter Pierre
• Graciela Angelica Placeres, RBT
• Sherene D Plant, LPN
• Dennis Edward Platt, M.D.
• PMP Wellness L.L.C. (Elevated Psychiatry)
• Sangeetha Polasa, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.