Organization Active NPI

Total Wellness Center, PA

  • Chiropractor
  • Marathon, FL
National Provider Identifier
1326106592
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8817 Issued in FL
Legal business name
TOTAL WELLNESS CENTER, PA
Practice address
12701 Overseas Hwy
Marathon, FL 33050-3538
Phone
(305) 289-9355
Fax
(305) 289-9332
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Authorized official

Name
Dr. Rebecca S Spacke, D.C.
Title
Owner
Phone
(305) 289-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8817 FL Primary

Addresses

Primary practice location

12701 Overseas Hwy
Marathon, FL 33050-3538

Mailing address

12701 Overseas Hwy
Marathon, FL 33050-3538
Phone (305) 289-9355

Other identifiers 1

IdentifierTypeStateIssuer
76066OtherFLBLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

2901 Overseas Hwy
#1
Marathon, FL 33050
Phone (305) 289-8915

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1326106592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12701 OVERSEAS HWY",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330503538",
            "telephone_number": "305-289-9355",
            "fax_number": "305-289-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 OVERSEAS HWY",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330503538",
            "telephone_number": "305-289-9355",
            "fax_number": "305-289-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL WELLNESS CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "SPACKE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-289-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "76066",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marathon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.