Individual provider Active NPI

Christina Bukaty, D.C.

  • Chiropractor
  • Fort Meyers, FL
National Provider Identifier
1174615553
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13702 Issued in FL
Practice address
7051 Cypress Terrace Suite 106 Room 101
Fort Meyers, FL 33907
Phone
(716) 545-5757
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X009117-2 NY
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH13702 FL Primary

Addresses

Primary practice location

7051 Cypress Terrace Suite 106 Room 101
Fort Meyers, FL 33907

Mailing address

21543 Belvedere LN
Estero, FL 33928-7333
Phone (716) 545-5757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120112000664 NY Practitioner - Chiropractic 1951578079
I20250207000054 FL Practitioner - Chiropractic 1951578079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7051 Cypress Ter
Suite 106
Fort Myers, FL 33907-8801
Phone (716) 545-5757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X009117-2NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bukaty Family Chiropractic of FL LLC Chiropractor CurrentSince Jan 1, 2025 Accepting new patients

Locations

10020 Coconut Rd
Estero, FL 34135

7051 Cypress Ter
Rm 101
Fort Myers, FL 33907
Phone (716) 545-5757

7051 Cypress Ter
Ste 106
Fort Myers, FL 33907
Phone (239) 270-3973

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1174615553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21543 BELVEDERE LN",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339287333",
            "telephone_number": "716-545-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 CYPRESS TERRACE SUITE 106 ROOM 101",
            "city": "FORT MEYERS",
            "state": "FL",
            "postal_code": "33907",
            "telephone_number": "716-545-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKATY",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009117-2",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Meyers, FL

Sources for this page

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