NPIMap

Organization Active NPI

Adjust Your Life Chiropractic, LLC

  • Chiropractor
  • Lakewood Ranch, FL
National Provider Identifier
1154696003
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10387 Issued in FL
Legal business name
ADJUST YOUR LIFE CHIROPRACTIC, LLC
Doing business as
Adjust Your Life Chiropractic LLC
Practice address
10910 E State Road 70
Suite 101
Lakewood Ranch, FL 34202-8406
Phone
(941) 799-7207
NPI assigned
Mar 11, 2012
Last updated
Feb 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Authorized official

Name
Colleen Elizabeth Ford, D.C.NPI 1760750483
Title
Owner
Phone
(941) 799-7207

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10387 FL Primary

Addresses

Primary practice location

10910 E State Road 70
Suite 101
Lakewood Ranch, FL 34202-8406

Mailing address

10910 E State Road 70
Suite 101
Lakewood Ranch, FL 34202-8406
Phone (941) 799-7207

Other names 1

  • Adjust Your Life Chiropractic LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121203000498 FL Part B Supplier - Clinic/Group Practice 4284886987 Receives reassigned benefits from 8 practitioners
Practice locations: Bradenton, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1331424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1154696003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10910 E STATE ROAD 70",
            "address_2": "SUITE 101",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342028406",
            "telephone_number": "941-799-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10910 E STATE ROAD 70",
            "address_2": "SUITE 101",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342028406",
            "telephone_number": "941-799-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADJUST YOUR LIFE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-11",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-799-7207",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adjust Your Life Chiropractic LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.