100 Chiro Rosado PT Orange PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

100 CHIRO ROSADO PT ORANGE PLLC

Practice address

5517 S Williamson Blvd Ste 305
Port Orange, FL 32128-8310

Phone

(386) 444-7700

Fax

(386) 444-7070

NPI assigned

Nov 15, 2023

Organization subpart

No

Name

Dr. Pedro Rosado

Title

Owner

Phone

(813) 495-4181

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

• Kirsten Nichole Selby, D.C.

  • Chiropractor
  • Port Orange, FL
  • NPI 1346021383
  Medicare reassignment NPD
• Diones M Valentin, DC

  • Chiropractor
  • Port Orange, FL
  • NPI 1093473217
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in FL

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 24, 2024.

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1144095605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5517 S WILLIAMSON BLVD STE 305",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321288310",
            "telephone_number": "386-444-7700",
            "fax_number": "386-444-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5517 S WILLIAMSON BLVD STE 305",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321288310",
            "telephone_number": "386-444-7700",
            "fax_number": "386-444-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 CHIRO ROSADO PT ORANGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "ROSADO",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-495-4181",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1 Home Care Services LLC
• Marichu Abando
• Arsheema Abdurahman, ARNP
• Abee Psychiatry
• Alaa Abou-Arab
• Adrian Edward Abrahams, D.M.D.

• All providers in Port Orange, FL
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.