Ravi Jitta, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 10842 Issued in FL

Practice address

10552Swvillage Pkwy
Port Saint Lucie, FL 34987-2359

Phone

(954) 933-8260

NPI assigned

Dec 19, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tradition Family ChiropracticGroup PAC ID 5991009516, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ravi.jitta.1@17433.direct.athenahealth.com

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.

• Tradition Family Chiropractic

  • Chiropractor
  • Port St Lucie, FL
  • NPI 1942673223
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1164843082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10552 SW PARKWAY VILLAGE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "34987",
            "telephone_number": "954-933-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10552SWVILLAGE PKWY",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349872359",
            "telephone_number": "954-933-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JITTA",
        "first_name": "RAVI",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-19",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lester Lee Jefferson Jr., CRNA
• Bruce Keanu Jeter
• Micaela Sacchi Jeziorski
• Maidis Jimenez Santos
• Diann M Jimenez, MS
• JJ Manor Assisted Living, LLC
• JN Louis LLC
• Ricardo Joassaint
• John R Istad PA
• Anthony John

• Chiropractor in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.