Organization Active NPI

Treasure Coast Injury and Wellness Centre

  • Chiropractor
  • Fort Pierce, FL
National Provider Identifier
1205087749
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7473 Issued in FL
Legal business name
TREASURE COAST INJURY AND WELLNESS CENTRE
Practice address
600 N US Highway 1
Fort Pierce, FL 34950-3072
Phone
(772) 978-9916
Fax
(772) 978-9918
NPI assigned
Oct 2, 2008
Last updated
Nov 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Authorized official

Name
Dr. Shannon A Griffin, D.C.NPI 1134218365
Title
President/Owner/Physician
Phone
(772) 978-9916

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH7473 FL Primary

Addresses

Primary practice location

600 N US Highway 1
Fort Pierce, FL 34950-3072

Mailing address

600 N US Highway 1
Fort Pierce, FL 34950-3072
Phone (772) 978-9916

National Provider Directory

National Provider Directory

Locations

600 N US Highway 1
Fort Pierce, FL 34950
Phone (772) 978-9916

600 N US Highway 1
Ste A
Fort Pierce, FL 34950
Phone (772) 672-8228

Practitioners & affiliated clinicians

Practitioners 6

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": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1205087749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N US HIGHWAY 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349503072",
            "telephone_number": "772-978-9916",
            "fax_number": "772-978-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N US HIGHWAY 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349503072",
            "telephone_number": "772-978-9916",
            "fax_number": "772-978-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST INJURY AND WELLNESS CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "772-978-9916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.