Individual provider Active NPI

Alex Michael Ponthier, DC

  • Chiropractor
  • Fleming Island, FL
National Provider Identifier
1316722929
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14568 Issued in FL
Practice address
1845 Eastwest Pkwy Ste 10
Fleming Island, FL 32003-6405
Phone
(904) 425-9060
NPI assigned
Aug 30, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH14568 FL Primary

Addresses

Primary practice location

1845 Eastwest Pkwy Ste 10
Fleming Island, FL 32003-6405

Mailing address

1845 Eastwest Pkwy Ste 10
Fleming Island, FL 32003-6405
Phone (904) 425-9060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH14568FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Select Wound Care LLC CurrentSince Jul 20, 2025 Accepting new patients
Select Health and Wellness LLC CurrentSince May 1, 2025 Accepting new patients

Locations

1845 Eastwest Pkwy
Ste 10
Fleming Island, FL 32003
Phone (904) 425-9060

Organizations & group practices 2

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": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1316722929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 EASTWEST PKWY STE 10",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320036405",
            "telephone_number": "904-425-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 EASTWEST PKWY STE 10",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320036405",
            "telephone_number": "904-425-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTHIER",
        "first_name": "ALEX",
        "middle_name": "MICHAEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.