NPIMap

Organization Active NPI

Roam Chiropractic and Wellness

  • Chiropractor
  • Port Orange, FL
National Provider Identifier
1306730395
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ROAM CHIROPRACTIC AND WELLNESS
Practice address
1175 Stillwood CT
Port Orange, FL 32129-3600
Phone
(407) 349-3406
NPI assigned
Jun 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Dr. Jeramie Gow, D.C.NPI 1518851856
Title
Owner
Phone
(407) 349-3406

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1175 Stillwood CT
Port Orange, FL 32129-3600

Mailing address

1175 Stillwood CT
Port Orange, FL 32129-3600
Phone (407) 349-3406

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1749081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1306730395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 STILLWOOD CT",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321293600",
            "telephone_number": "407-349-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 STILLWOOD CT",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321293600",
            "telephone_number": "407-349-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROAM CHIROPRACTIC AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "GOW",
        "authorized_official_first_name": "JERAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-349-3406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.