NPIMap

Organization Active NPI

Sports and Spine Injury Center PA

  • Chiropractor
  • Jupiter, FL
National Provider Identifier
1174706485
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6529 Issued in FL
Legal business name
SPORTS AND SPINE INJURY CENTER PA
Practice address
654 W Indiantown Rd
Suite 107
Jupiter, FL 33458-7546
Phone
(561) 745-1002
Fax
(561) 745-7880
NPI assigned
Dec 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Authorized official

Name
Dr. August John La Ruffa III, DCNPI 1538105028
Title
President/Doctor
Phone
(561) 745-1002

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH6529 FL Primary

Addresses

Primary practice location

654 W Indiantown Rd
Suite 107
Jupiter, FL 33458-7546

Mailing address

654 W Indiantown Rd
Suite 107
Jupiter, FL 33458-7546
Phone (561) 745-1002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081125000458 FL Part B Supplier - Clinic/Group Practice 0042370785 Receives reassigned benefits from 1 practitioner
Practice locations: Jupiter, FL

National Provider Directory

National Provider Directory

Locations

654 W Indiantown Rd
Ste 107
Jupiter, FL 33458
Phone (561) 745-1002

654 W Indiantown Rd
Jupiter, FL 33458
Phone (561) 745-1002

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1174706485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 W INDIANTOWN RD",
            "address_2": "SUITE 107",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587546",
            "telephone_number": "561-745-1002",
            "fax_number": "561-745-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 W INDIANTOWN RD",
            "address_2": "SUITE 107",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587546",
            "telephone_number": "561-745-1002",
            "fax_number": "561-745-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS AND SPINE INJURY CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "LA RUFFA",
        "authorized_official_first_name": "AUGUST",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT/DOCTOR",
        "authorized_official_telephone_number": "561-745-1002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.