The Fit Chiro LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 9973 Issued in FL

Legal business name

THE FIT CHIRO LLC

Doing business as

The Fit Chiro

Practice address

3380 66TH St N
St Petersburg, FL 33710-1539

Phone

(727) 258-4886

Fax

(727) 258-4888

NPI assigned

Sep 19, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jason Ackley, DC

Title

Owner

Phone

(818) 641-0960

Specialties & licenses 1

Addresses

Other names 1

• THE FIT CHIRO Doing business as

Locations

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1346642402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 66TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101539",
            "telephone_number": "727-258-4886",
            "fax_number": "727-258-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 66TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101539",
            "telephone_number": "727-258-4886",
            "fax_number": "727-258-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FIT CHIRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "ACKLEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-641-0960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 9973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE FIT CHIRO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.