American Spine and Health Institute Corporation
Organization Active NPI Chiropractor · Estero, FL
NPI 1124914809 · NPPES record last updated Jul 22, 2025
Key facts
- NPI
- 1124914809
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- AMERICAN SPINE AND HEALTH INSTITUTE CORPORATION
- Practice address
- 10020 Coconut Rd Ste 134B
Estero, FL 34135-8136 - Phone
- (239) 498-2225
- NPI assigned
- Jun 17, 2025
- Organization subpart
- No
Authorized official
- Name
- Timothy Sopp, DC
- Title
- Owner
- Phone
- (239) 498-2225
Practitioners 2
-
Timothy William Sopp, D.C.
-
Vivian B Ebert, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250813002717 | FL | Part B Supplier - Clinic/Group Practice | 0446758841 |
Receives reassigned benefits from 1 practitioner Practice locations: Estero, FL |
National Provider Directory
Locations
10020 Coconut Rd
Ste 134B
Estero, FL 34135
Phone (239) 498-2225
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
10020 Coconut Rd Ste 134B
Estero, FL 34135-8136
Mailing address
10020 Coconut Rd Ste 134B
Estero, FL 34135-8136
Other names
- Living Well Chiropractic
Other providers in Estero, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.