Organization Active NPI

TC Spine & Sport PSL LLC

  • Chiropractor
  • Port Saint Lucie, FL
National Provider Identifier
1063347466
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TC SPINE & SPORT PSL LLC
Practice address
573 NW Lake Whitney PL Ste 104
Port Saint Lucie, FL 34986-1628
Phone
(772) 249-3331
NPI assigned
Jun 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Kianoosh ZiayanNPI 1700476231
Title
Ceo
Phone
(774) 345-0116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

573 NW Lake Whitney PL Ste 104
Port Saint Lucie, FL 34986-1628

Mailing address

573 NW Lake Whitney PL Ste 104
Port Saint Lucie, FL 34986-1628

National Provider Directory

National Provider Directory

Locations

573 NW Lake Whitney Pl
Ste 104
Port Saint Lucie, FL 34986

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1063347466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 NW LAKE WHITNEY PL STE 104",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349861628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 NW LAKE WHITNEY PL STE 104",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349861628",
            "telephone_number": "772-249-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TC SPINE & SPORT PSL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "ZIAYAN",
        "authorized_official_first_name": "KIANOOSH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "774-345-0116"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 Jun 16, 2026; 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.