NPIMap

Organization Active NPI

Dr J Comerford PA

  • Rehabilitation Chiropractor
  • Palm Bay, FL
National Provider Identifier
1295108561
Registry record updated Nov 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CH 9891 Issued in FL
Legal business name
DR J COMERFORD PA
Practice address
280 Corporate Way SE
Suite 102
Palm Bay, FL 32909-3803
Phone
(321) 586-7145
NPI assigned
Nov 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2015

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

Authorized official

Name
Dr. Jason Scot Comerford, DCNPI 1265763049
Title
Doctor
Phone
(321) 586-7145

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
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X CH 9891 FL Primary

Addresses

Primary practice location

280 Corporate Way SE
Suite 102
Palm Bay, FL 32909-3803

Mailing address

280 Corporate Way SE
Suite 102
Palm Bay, FL 32909-3803
Phone (321) 586-7145

Other names 1

  • Sports Chiropractic Health & Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

280 Corporate Way SE
Ste 102
Palm Bay, FL 32909
Phone (321) 586-7145

Practitioners & affiliated clinicians

Practitioners 2

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": "1446940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446940800000",
    "number": "1295108561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CORPORATE WAY SE",
            "address_2": "SUITE 102",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329093803",
            "telephone_number": "321-586-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 CORPORATE WAY SE",
            "address_2": "SUITE 102",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329093803",
            "telephone_number": "321-586-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR J COMERFORD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-08",
        "last_updated": "2015-11-08",
        "status": "A",
        "authorized_official_last_name": "COMERFORD",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "SCOT",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "321-586-7145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH 9891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports Chiropractic Health & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.