Individual provider Active NPI

Sophie Marie Ville Pitten, DC

  • Chiropractor
  • Satellite Beach, FL
National Provider Identifier
1154028132
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14365 Issued in FL
Practice address
155 Jackson Ave
Satellite Beach, FL 32937-2972
Phone
(321) 777-3677
NPI assigned
Feb 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH14365 FL Primary

Addresses

Primary practice location

155 Jackson Ave
Satellite Beach, FL 32937-2972

Mailing address

155 Jackson Ave
Satellite Beach, FL 32937-2972
Phone (321) 777-3677

Other names 1

  • Sophie Marie Ville Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251015001448 FL Practitioner - Chiropractic 3678060456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Regenerative Spine and Body ClinicGroup PAC ID 9436464138, 2 clinicians

Practice addresses (Care Compare)

155 Jackson Ave
Suite C
Satellite Beach, FL 32937-2993
Phone (321) 773-2663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH14365FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Regenerative Spine and Body Clinic CurrentSince Sep 17, 2025 Accepting new patients

Locations

155 Jackson Ave
Satellite Beach, FL 32937
Phone (321) 773-2663

155 Jackson Ave
Ste C
Satellite Beach, FL 32937
Phone (321) 773-2663

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1154028132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 JACKSON AVE",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329372972",
            "telephone_number": "321-777-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 JACKSON AVE",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329372972",
            "telephone_number": "321-777-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTEN",
        "first_name": "SOPHIE",
        "middle_name": "MARIE VILLE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-10",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIE",
            "last_name": "VILLE",
            "middle_name": "MARIE",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Satellite Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.