Active NPI
Focus Forward Chiropractic
- Chiropractor
- Port Orange, FL
National Provider Identifier
1326557604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- FOCUS FORWARD CHIROPRACTIC
- Practice address
- 900 N Swallow Tail Dr
Port Orange, FL 32129 - Phone
- (518) 536-0574
- NPI assigned
- Sep 29, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bethany Raudenbush
- Title
- Ceo
- Phone
- (386) 872-5313
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
900 N Swallow Tail Dr
Port Orange, FL 32129
Mailing address
1010 N Swallow Tail Dr Apt 803
Port Orange, FL 32129-4155
Phone (518) 536-0574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
900 N Swallow Tail Dr
Ste 104D
Port Orange, FL 32129
Phone (386) 256-4805
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Port Orange, FL
- NPI 1174032437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526860800000",
"number": "1326557604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 N SWALLOW TAIL DR APT 803",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321294155",
"telephone_number": "518-536-0574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N SWALLOW TAIL DR",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "32129",
"telephone_number": "518-536-0574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOCUS FORWARD CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-29",
"last_updated": "2018-05-21",
"status": "A",
"authorized_official_last_name": "RAUDENBUSH",
"authorized_official_first_name": "BETHANY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "386-872-5313"
},
"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 May 21, 2018; 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.