Sunrise Body Revival Chiropractic and Masssage

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11315 Issued in FL

Legal business name

SUNRISE BODY REVIVAL CHIROPRACTIC AND MASSSAGE

Practice address

3117 W Columbus Dr
Suite 206
Tampa, FL 33607-1866

Phone

(813) 857-6171

NPI assigned

Jun 8, 2016

Organization subpart

No

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

• Travis James France, D.C.

  • Chiropractor
  • Tampa, FL
  • NPI 1578017687
  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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

Authorized official

Name

Dr. Travis France, DCNPI 1578017687

Title

Owwner

Phone

(813) 857-6171

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1114376282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 W COLUMBUS DR",
            "address_2": "SUITE 206",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071866",
            "telephone_number": "813-857-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 W COLUMBUS DR",
            "address_2": "SUITE 206",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071866",
            "telephone_number": "813-857-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE BODY REVIVAL CHIROPRACTIC AND MASSSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "FRANCE",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWWNER",
        "authorized_official_telephone_number": "813-857-6171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunny Breeze Transport LLC
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• Sunny Therapy Options, LLC
• Sunny Vista Assisted Living Facility LLC
• Arun Joseph Sunny, MD
• Sunrise Community, Inc.
• Sunrise Injury Center
• Shana Sunseri
• Sunset Community Services, LLC
• Sunset Prime Options Inc

• All providers in Tampa, FL
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.