Individual provider Active NPI

Elliott C Grusky, D.C.

  • Chiropractor
  • Miami, FL
National Provider Identifier
1285822254
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH2596 Issued in FL
Practice address
11400 N Kendall Dr
Suite 100
Miami, FL 33176-1029
Phone
(305) 598-2005
NPI assigned
Oct 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH2596 FL Primary

Addresses

Primary practice location

11400 N Kendall Dr
Suite 100
Miami, FL 33176-1029

Mailing address

11400 N Kendall Dr
Suite 100
Miami, FL 33176-1029
Phone (305) 598-2005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080624000060 FL Practitioner - Chiropractic 5193894749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1977
Medicare assignment
May accept Medicare assignment
Group practices
USA Sportschiropractic, IncGroup PAC ID 8820336084, 4 clinicians

Practice addresses (Care Compare)

11410 N Kendall Dr
Suite 110
Miami, FL 33176-1031
Phone (305) 935-9599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH2596FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
USA Sportschiropractic, Inc Chiropractor CurrentSince Dec 22, 2025 Accepting new patients

Locations

11410 N Kendall Dr
Ste 110
Miami, FL 33176
Phone (305) 479-2973

21000 NE 28th Ave
Ste 104
Miami, FL 33180
Phone (305) 933-0626

1220 20th St
Miami Beach, FL 33139
Phone (305) 479-2973

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1285822254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 N KENDALL DR",
            "address_2": "SUITE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761029",
            "telephone_number": "305-598-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 N KENDALL DR",
            "address_2": "SUITE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761029",
            "telephone_number": "305-598-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUSKY",
        "first_name": "ELLIOTT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH2596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.