Organization Active NPI

Lehigh Personal Injury Clinic LLC

  • Chiropractor
  • Lehigh Acres, FL
National Provider Identifier
1255988929
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LEHIGH PERSONAL INJURY CLINIC LLC
Doing business as
LEHIGH SPINE AND INJURY CENTER
Practice address
60 Westminster St N
Lehigh Acres, FL 33936-6518
Phone
(813) 476-9734
NPI assigned
Aug 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Authorized official

Name
Marcy Mielz
Title
Billing Manager
Phone
(561) 482-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

60 Westminster St N
Lehigh Acres, FL 33936-6518

Mailing address

9858 Clint Moore Rd # C111-274
Boca Raton, FL 33496-1034
Phone (561) 482-1144

Other names 1

  • LEHIGH SPINE AND INJURY CENTER Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL DROPBOX Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1255988929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9858 CLINT MOORE RD # C111-274",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961034",
            "telephone_number": "561-482-1144",
            "fax_number": "561-482-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 WESTMINSTER ST N",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366518",
            "telephone_number": "813-476-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHIGH PERSONAL INJURY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "MIELZ",
        "authorized_official_first_name": "MARCY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "561-482-1144"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DROPBOX",
            "affiliation": "N",
            "endpointDescription": "FILE EXCHANGE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PATIENT INFORMATION",
            "address_1": "60 Westminster St N",
            "city": "Lehigh Acres",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339366518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LEHIGH SPINE AND INJURY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.