Individual provider Active NPI

Magdalena Kortis, DC

  • Chiropractor
  • Wesley Chapel, FL
National Provider Identifier
1093439788
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14221 Issued in FL
Practice address
2252 Twelve Oaks Way Ste 101
Wesley Chapel, FL 33544-6972
Phone
(330) 617-6863
NPI assigned
Sep 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14221 FL Primary

Addresses

Primary practice location

2252 Twelve Oaks Way Ste 101
Wesley Chapel, FL 33544-6972

Mailing address

2252 Twelve Oaks Way Ste 101
Wesley Chapel, FL 33544-6972
Phone (330) 617-6863

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230103003017 FL Practitioner - Chiropractic 6002286242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Way Wesley Chapel LLCGroup PAC ID 4284004425, 2 clinicians

Practice addresses (Care Compare)

2252 Twelve Oaks Way
Suite 101
Wesley Chapel, FL 33544-6972
Phone (330) 617-6863

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14221FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Way Wesley Chapel LLC Chiropractor CurrentSince Oct 7, 2022 Accepting new patients

Locations

2252 Twelve Oaks Way
Ste 101
Wesley Chapel, FL 33544
Phone (330) 617-6863

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1093439788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2252 TWELVE OAKS WAY STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446972",
            "telephone_number": "330-617-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2252 TWELVE OAKS WAY STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446972",
            "telephone_number": "330-617-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORTIS",
        "first_name": "MAGDALENA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "14221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.