Organization Active NPI

District Chiropractic & Wellness Center, Inc.

Doing business as Balanced Back & Body

  • Chiropractor
  • Altamonte Springs, FL
National Provider Identifier
1144634973
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9566 Issued in FL
Legal business name
DISTRICT CHIROPRACTIC & WELLNESS CENTER, INC.
Doing business as
Balanced Back & Body
Practice address
851 S State Road 434
Suite 1200
Altamonte Springs, FL 32714-4811
Phone
(407) 413-5731
Fax
(407) 413-5732
NPI assigned
Jun 19, 2014
Last updated
Jun 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Authorized official

Name
Dr. Kristy Kottwitz, DC
Title
Owner
Phone
(407) 413-5731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9566 FL Primary

Addresses

Primary practice location

851 S State Road 434
Suite 1200
Altamonte Springs, FL 32714-4811

Mailing address

851 S State Road 434
Suite 1200
Altamonte Springs, FL 32714-4811
Phone (407) 413-5731

Other names 1

  • Balanced Back & Body Doing business as

National Provider Directory

National Provider Directory

Locations

851 S State Road 434
Ste 1200
Altamonte Springs, FL 32714
Phone (407) 413-5731

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1144634973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 S STATE ROAD 434",
            "address_2": "SUITE 1200",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327144811",
            "telephone_number": "407-413-5731",
            "fax_number": "407-413-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 S STATE ROAD 434",
            "address_2": "SUITE 1200",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327144811",
            "telephone_number": "407-413-5731",
            "fax_number": "407-413-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTRICT CHIROPRACTIC & WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "KOTTWITZ",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-413-5731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balanced Back & Body",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.