Active NPI
Oceanside Wellness PLLC
- Chiropractor
- New Smyrna Beach, FL
National Provider Identifier
1144608969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH10756
- Legal business name
- OCEANSIDE WELLNESS PLLC
- Practice address
- 3516 S Atlantic Avenue
New Smyrna Beach, FL 32169-3628 - Phone
- (386) 235-4412
- Fax
- (386) 410-2918
- NPI assigned
- May 13, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Phyleischa Owen
- Title
- Billing Manager
- Phone
- (407) 312-4613
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH10756 | FL | Primary |
Addresses
Primary practice location
3516 S Atlantic Avenue
New Smyrna Beach, FL 32169-3628
Mailing address
3516 S Atlantic Avenue
New Smyrna Beach, FL 32169-3628
Phone (386) 235-4412
Other practice location 1
100 Club House Cir Rm 3
New Smyrna Beach, FL 32168-2060
Phone (386) 235-4412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3516 S Atlantic Ave
New Smyrna Beach, FL 32169
Phone (386) 235-4412
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- New Smyrna, FL
- NPI 1245582386
-
- Occupational Therapist
- New Smyrna Beach, FL
- NPI 1871538454
-
- Physical Therapist
- Sanford, FL
- NPI 1427102359
-
- Acupuncturist
- New Smyrna Beach, FL
- NPI 1689842494
-
- Chiropractor
- New Smyrna Beach, FL
- NPI 1003447665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684195200000",
"number": "1144608969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3516 S ATLANTIC AVENUE",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321693628",
"telephone_number": "386-235-4412",
"fax_number": "863-816-5865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3516 S ATLANTIC AVENUE",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321693628",
"telephone_number": "386-235-4412",
"fax_number": "386-410-2918"
}
],
"practiceLocations": [
{
"address_1": "100 Club House Cir Rm 3",
"address_purpose": "LOCATION",
"city": "New Smyrna Beach",
"state": "FL",
"postal_code": "321682060",
"country_code": "US",
"telephone_number": "386-235-4412",
"fax_number": "407-605-0699",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "OCEANSIDE WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-13",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A",
"authorized_official_last_name": "OWEN",
"authorized_official_first_name": "PHYLEISCHA",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "407-312-4613"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH10756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Smyrna Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.