Organization Active NPI

Perdue Chiropractic Center, LLC

  • Chiropractor
  • Palm Bay, FL
National Provider Identifier
1164782553
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6225 Issued in FL
Legal business name
PERDUE CHIROPRACTIC CENTER, LLC
Practice address
1900 Palm Bay Rd NE Ste E
Palm Bay, FL 32905-2955
Phone
(321) 984-5355
Fax
(321) 984-7206
NPI assigned
May 21, 2012
Last updated
Feb 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Mrs. Tammy Twohig, MANAGER
Title
Office Manager
Phone
(321) 984-5355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH6225 FL Primary

Addresses

Primary practice location

1900 Palm Bay Rd NE Ste E
Palm Bay, FL 32905-2955

Mailing address

1900 Palm Bay Rd NE Ste E
Palm Bay, FL 32905-2955
Phone (321) 984-5355

Other practice location 1

1051 Port Malabar Blvd NE
Suite 2
Palm Bay, FL 32905-5153
Phone (321) 984-5355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110312000038 FL Part B Supplier - Clinic/Group Practice 4486836483 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Palm Bay, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1900 Palm Bay Rd NE
Ste E
Palm Bay, FL 32905
Phone (321) 984-5355

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": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1164782553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 PALM BAY RD NE STE E",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052955",
            "telephone_number": "321-984-5355",
            "fax_number": "321-984-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 PALM BAY RD NE STE E",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052955",
            "telephone_number": "321-984-5355",
            "fax_number": "321-984-7206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1051 Port Malabar Blvd NE",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329055153",
            "country_code": "US",
            "telephone_number": "321-984-5355",
            "fax_number": "321-984-7206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERDUE CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "TWOHIG",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "321-984-5355",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.