Active NPI
Peluso Chiropractic Center PA
- Health Service Clinic/Center
- Palm Harbor, FL
National Provider Identifier
1255476230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- CH5006
- Legal business name
- PELUSO CHIROPRACTIC CENTER PA
- Practice address
- 36949 US Highway 19 N
Palm Harbor, FL 34684-1238 - Phone
- (727) 934-7602
- Fax
- (727) 934-7704
- NPI assigned
- Feb 20, 2007
- Last updated
- Sep 27, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua Bly, D.C.
- Title
- President
- Phone
- (727) 934-7602
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | CH5006 | FL | Primary |
| Primary Care Clinic/Center | 261QP2300X | CH 5006 | FL | |
| Rehabilitation Clinic/Center | 261QR0400X | CH 5006 | FL |
Addresses
Primary practice location
36949 US Highway 19 N
Palm Harbor, FL 34684-1238
Mailing address
36949 US Highway 19 N
Palm Harbor, FL 34684-1238
Phone (727) 934-7602
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0554294-00 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
36949 US Highway 19 N
Palm Harbor, FL 34684
Phone (352) 799-3433
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Chiropractor
- Palm Harbor, FL
- NPI 1780962878
-
- Chiropractor
- Clearwater, FL
- NPI 1568536647
-
- Massage Therapist
- Palm Harbor, FL
- NPI 1740152479
-
- Chiropractor
- Brooksville, FL
- NPI 1174554968
-
- Chiropractor
- Clearwater, FL
- NPI 1700111697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632700800000",
"number": "1255476230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36949 US HIGHWAY 19 N",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346841238",
"telephone_number": "727-934-7602",
"fax_number": "727-934-7704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36949 US HIGHWAY 19 N",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346841238",
"telephone_number": "727-934-7602",
"fax_number": "727-934-7704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PELUSO CHIROPRACTIC CENTER PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2021-09-27",
"certification_date": "2021-09-27",
"status": "A",
"authorized_official_last_name": "BLY",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-934-7602",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "FL",
"license": "CH5006",
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "FL",
"license": "CH 5006",
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "FL",
"license": "CH 5006",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0554294-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.