Organization Active NPI

Biomechanics Wellness Center, LLC

  • Chiropractor
  • Sarasota, FL
National Provider Identifier
1225543648
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BIOMECHANICS WELLNESS CENTER, LLC
Practice address
2803 Fruitville Rd Ste 130
Sarasota, FL 34237-5367
Phone
(941) 281-5451
NPI assigned
Dec 7, 2017
Last updated
Dec 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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

Authorized official

Name
Mr. Tim Bekkering
Title
Ambr
Phone
(941) 323-3870

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary
Acupuncturist 171100000X NU

Addresses

Primary practice location

2803 Fruitville Rd Ste 130
Sarasota, FL 34237-5367

Mailing address

2803 Fruitville Rd Ste 130
Sarasota, FL 34237-5367
Phone (941) 281-5451

Other identifiers 7

IdentifierTypeStateIssuer
1043734031MedicaidFL
18513217MedicaidFL
1619906294MedicaidFL
1598116741MedicaidFL
1982803441MedicaidFL
1578937405MedicaidFL
1790012201MedicaidFL

National Provider Directory

National Provider Directory

Locations

2803 Fruitville Rd
Ste 130
Sarasota, FL 34237
Phone (941) 281-5451

NPI Registry JSON

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1225543648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 FRUITVILLE RD STE 130",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342375367",
            "telephone_number": "941-281-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 FRUITVILLE RD STE 130",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342375367",
            "telephone_number": "941-281-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOMECHANICS WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "BEKKERING",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "941-323-3870",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043734031",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18513217",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619906294",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598116741",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982803441",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578937405",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790012201",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.