Individual provider Active NPI

Joseph Vincent Tuttolomondo, D.C.

  • Rehabilitation Chiropractor
  • Lake Worth, FL
National Provider Identifier
1144371535
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CH7514 Issued in FL
Practice address
4095 State Road 7
Suite I
Lake Worth, FL 33467-8178
Phone
(561) 868-0321
Fax
(561) 868-5707
NPI assigned
Jan 15, 2007
Last updated
Nov 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X CH7514 FL Primary

Addresses

Primary practice location

4095 State Road 7
Suite I
Lake Worth, FL 33467-8178

Mailing address

4095 Sr 7
Ste I
Lake Worth, FL 33449-8179
Phone (561) 868-0321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111212000260 FL Practitioner - Chiropractic 1759556202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

125 S State Rd
7 Suite 103
Royal Palm Beach, FL 33414-4395
Phone (561) 868-0321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH7514FLMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph V Tuttolomondo, P.a. CurrentSince Aug 27, 2002 Accepting new patients

Locations

4095 S State Road 7
Ste I
Lake Worth, FL 33449
Phone (561) 868-0321

125 S State Road 7
Ste 103
Wellington, FL 33414
Phone (561) 792-4016

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1144371535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4095 SR 7",
            "address_2": "STE I",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334498179",
            "telephone_number": "561-868-0321",
            "fax_number": "561-868-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4095 STATE ROAD 7",
            "address_2": "SUITE I",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334678178",
            "telephone_number": "561-868-0321",
            "fax_number": "561-868-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTOLOMONDO",
        "first_name": "JOSEPH",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH7514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.