Organization Active NPI

Jpa Management LLC

  • Chiropractor
  • High Springs, FL
National Provider Identifier
1275606667
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9159 Issued in FL
Legal business name
JPA MANAGEMENT LLC
Practice address
18245 NW US Highway 441
High Springs, FL 32643-9621
Phone
(386) 454-0410
NPI assigned
Nov 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jack P. AgliataNPI 1821161217
Title
Managing Member
Phone
(386) 454-0410

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
Chiropractor 111N00000X CH9159 FL Primary

Addresses

Primary practice location

18245 NW US Highway 441
High Springs, FL 32643-9621

Mailing address

18245 NW US Highway 441
High Springs, FL 32643-9621
Phone (386) 454-0410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070326000355 FL Part B Supplier - Clinic/Group Practice 9638273907 Receives reassigned benefits from 1 practitioner
Practice locations: High Springs, FL

National Provider Directory

National Provider Directory

Locations

18245 NW US Highway 441
High Springs, FL 32643
Phone (386) 454-3941

23481 NW 186th Ave
High Springs, FL 32643
Phone (386) 454-4055

Practitioners & affiliated clinicians

Practitioners 3

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": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275606667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18245 NW US HIGHWAY 441",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326439621",
            "telephone_number": "386-454-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18245 NW US HIGHWAY 441",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326439621",
            "telephone_number": "386-454-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JPA MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGLIATA",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "386-454-0410"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.