Sanibel Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 10673 Issued in FL

Legal business name

SANIBEL CHIROPRACTIC, LLC

Practice address

16880 McGregor Blvd Ste 102
Fort Myers, FL 33908-3833

NPI assigned

Jun 7, 2012

Organization subpart

No

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

Authorized official

Name

Gregory T Walsh, D.C.NPI 1881820785

Title

Owner/Manager

Phone

(270) 556-6519

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Gregory Thomas Walsh, D.C.

  • Chiropractor
  • Fort Myers, FL
  • NPI 1881820785
  Medicare reassignment NPD Authorized official
• Joseph Michael Tolisano, D.C.

  • Chiropractor
  • Sanibel, FL
  • NPI 1679854764
  NPD (past)
• Michael Angelo Tolisano, D.C.

  • Chiropractor
  • Colorado Springs, CO
  • NPI 1962562116
  NPD (past)

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1295097038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16880 MCGREGOR BLVD STE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16880 MCGREGOR BLVD STE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANIBEL CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "270-556-6519",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10673",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10671",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandy Martin Dermatology LLC
• Joseph Michael Sanfilippo, RN
• Michele Sanfilippo, LMHC
• Alexa Jade Sanger
• Roxann Maria Sangiacomo, MD
• Sanibel Wellness
• Sanimed, PA
• Nadege Sanon, APRN
• Leomarys J Santaella, PMHNP-BC
• Nicolas David Santamaria, PA-C

• Chiropractor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.