NPIMap

Organization Active NPI

Patient Management Consulting LLC

  • Chiropractor
  • Kissimmee, FL
National Provider Identifier
1275958498
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10604 Issued in FL
Legal business name
PATIENT MANAGEMENT CONSULTING LLC
Practice address
1627 E Vine St
Suite 126
Kissimmee, FL 34744-3704
Phone
(407) 791-4172
Fax
(407) 518-9054
NPI assigned
Feb 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Authorized official

Name
Dr. Brooke Iwanski, D.C.
Title
Manager
Phone
(407) 791-4172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH10604 FL Primary

Addresses

Primary practice location

1627 E Vine St
Suite 126
Kissimmee, FL 34744-3704

Mailing address

917 Jasmine St
Celebration, FL 34747-4618
Phone (407) 791-4172

National Provider Directory

National Provider Directory

Locations

1627 E Vine St
Ste 126
Kissimmee, FL 34744
Phone (407) 791-4172

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1275958498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 JASMINE ST",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474618",
            "telephone_number": "407-791-4172",
            "fax_number": "407-791-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 E VINE ST",
            "address_2": "SUITE 126",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443704",
            "telephone_number": "407-791-4172",
            "fax_number": "407-518-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT MANAGEMENT CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "IWANSKI",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-791-4172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.

Verify at the official NPI Registry.