Organization Active NPI

Accident Recovery Centers

  • Chiropractor
  • Port St Lucie, FL
National Provider Identifier
1124390364
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10526 Issued in FL
Legal business name
ACCIDENT RECOVERY CENTERS
Practice address
550 NW University Blvd
Suite 104
Port St Lucie, FL 34986-2285
Phone
(772) 249-0040
NPI assigned
Feb 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Authorized official

Name
Ryan Grand, D.C.
Title
President
Phone
(772) 249-0040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH10526 FL Primary

Addresses

Primary practice location

550 NW University Blvd
Suite 104
Port St Lucie, FL 34986-2285

Mailing address

PO Box 16836
West Palm Beach, FL 33416-6836
Phone (772) 249-0040

National Provider Directory

National Provider Directory
Tax ID family
Accident Recovery Centers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1124390364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16836",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334166836",
            "telephone_number": "772-249-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 NW UNIVERSITY BLVD",
            "address_2": "SUITE 104",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862285",
            "telephone_number": "772-249-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCIDENT RECOVERY CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "GRAND",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-249-0040",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.