Active NPI
TC Spine & Sport PSL LLC
- Chiropractor
- Port Saint Lucie, FL
National Provider Identifier
1063347466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kianoosh Ziayan
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 DirectoryLocations
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.
-
- Chiropractor
- Stuart, FL
- NPI 1700476231
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.