Organization Active NPI

The Chiropractic Studio at Longwood Rehabilitation

  • Chiropractor
  • Longwood, FL
National Provider Identifier
1104149871
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9417 Issued in FL
Legal business name
THE CHIROPRACTIC STUDIO AT LONGWOOD REHABILITATION
Practice address
2629 W State Road 434
Longwood, FL 32779-4878
Phone
(407) 774-1716
Fax
(407) 774-9527
NPI assigned
Mar 9, 2010
Organization subpart
Yes
Parent organization
JAYNE KWIATKOWSKI, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Authorized official

Name
Jayne Kwiatkowski, DCNPI 1588850218
Title
Owner
Phone
(202) 365-8404

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 CH9417 FL Primary

Addresses

Primary practice location

2629 W State Road 434
Longwood, FL 32779-4878

Mailing address

2629 W State Road 434
Longwood, FL 32779-4878
Phone (407) 774-1716

National Provider Directory

National Provider Directory
Tax ID family
The Chiropractic Studio at Longwood Rehabilitation3 organizations share this tax ID, including this one
Part of
The Chiropractic Studio at Longwood Rehabilitation

Other organizations with this tax ID 2

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

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": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1104149871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 W STATE ROAD 434",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794878",
            "telephone_number": "407-774-1716",
            "fax_number": "407-774-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 W STATE ROAD 434",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794878",
            "telephone_number": "407-774-1716",
            "fax_number": "407-774-9527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHIROPRACTIC STUDIO AT LONGWOOD REHABILITATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAYNE KWIATKOWSKI, LLC",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "KWIATKOWSKI",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-365-8404",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.