Organization Active NPI

Vero Spine & Sport Rehab

  • Chiropractor
  • Vero Beach, FL
National Provider Identifier
1093122467
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10404 Issued in FL
Legal business name
VERO SPINE & SPORT REHAB
Practice address
3730 7TH Ter
Suite 302
Vero Beach, FL 32960-7324
Phone
(772) 617-2185
NPI assigned
Jul 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Authorized official

Name
Nicholas Muthart, DCNPI 1366791956
Title
Owner
Phone
(772) 617-2185

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 CH10404 FL Primary

Addresses

Primary practice location

3730 7TH Ter
Suite 302
Vero Beach, FL 32960-7324

Mailing address

3730 7TH Ter
Suite 302
Vero Beach, FL 32960-7324
Phone (772) 617-2185

National Provider Directory

National Provider Directory
Tax ID family
Nicholas J Muthart DC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3730 7th Ter
Ste 302
Vero Beach, FL 32960
Phone (772) 268-4414

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": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1093122467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 7TH TER",
            "address_2": "SUITE 302",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607324",
            "telephone_number": "772-617-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 7TH TER",
            "address_2": "SUITE 302",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607324",
            "telephone_number": "772-617-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERO SPINE & SPORT REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "MUTHART",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-617-2185",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.