Organization Active NPI

My Bodyworx Wellness LLC

  • Family Medicine Physician
  • Delray Beach, FL
National Provider Identifier
1053996165
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MY BODYWORX WELLNESS LLC
Practice address
14560 S Military TRL Ste B4
Delray Beach, FL 33484-3794
Phone
(561) 926-9494
NPI assigned
Mar 10, 2021
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MY BODYWORX CHIROPRACTIC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Jon Segal, DC
Title
Owner
Phone
(561) 926-9494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

14560 S Military TRL Ste B4
Delray Beach, FL 33484-3794

Mailing address

14560 S Military TRL Ste B4
Delray Beach, FL 33484-3794

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220127000386 FL Part B Supplier - Clinic/Group Practice 6305238296 Receives reassigned benefits from 5 practitioners
Practice locations: Delray Beach, FL

National Provider Directory

National Provider Directory
Part of
My Bodyworx Chiropractic LLC

Locations

301 W Atlantic Ave
Ste R6
Delray Beach, FL 33444
Phone (561) 926-9494

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1053996165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14560 S MILITARY TRL STE B4",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334843794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14560 S MILITARY TRL STE B4",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334843794",
            "telephone_number": "561-926-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY BODYWORX WELLNESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MY BODYWORX CHIROPRACTIC LLC",
        "enumeration_date": "2021-03-10",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-926-9494",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.