Active NPI
Leslie Jacobi
- Chiropractor
- Brandon, FL
National Provider Identifier
1215312426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH11583
- Practice address
- 333 E Robertson St
Brandon, FL 33511-5253 - Phone
- (813) 530-4617
- NPI assigned
- Jul 29, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH11583 | FL | Primary |
Addresses
Primary practice location
333 E Robertson St
Brandon, FL 33511-5253
Mailing address
1502 Rhodeswell LN
Dover, FL 33527-4958
Phone (847) 912-6526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH11583 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Care Chiropractic & Rehabilitation, L.L.C. | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Brandon, FL
- NPI 1225402399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448841600000",
"number": "1215312426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 RHODESWELL LN",
"city": "DOVER",
"state": "FL",
"postal_code": "335274958",
"telephone_number": "847-912-6526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 E ROBERTSON ST",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115253",
"telephone_number": "813-530-4617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBI",
"first_name": "LESLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-29",
"last_updated": "2015-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH11583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.