NPIMap

Organization Active NPI

Sport & Spinal Rehab

  • Chiropractor
  • Jupiter, FL
National Provider Identifier
1356655740
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPORT & SPINAL REHAB
Practice address
275 Toney Penna Dr Ste 12
Jupiter, FL 33458-5752
Phone
(561) 746-4242
Fax
(561) 746-7405
NPI assigned
Jul 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Authorized official

Name
Dr. Jaysen Torrey Sudnykovych, D.C.
Title
Owner
Phone
(561) 629-3501

Specialties & licenses 1

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

Addresses

Primary practice location

275 Toney Penna Dr Ste 12
Jupiter, FL 33458-5752

Mailing address

275 Toney Penna Dr Ste 12
Jupiter, FL 33458-5752
Phone (561) 746-4242

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1356655740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 TONEY PENNA DR STE 12",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585752",
            "telephone_number": "561-746-4242",
            "fax_number": "561-746-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 TONEY PENNA DR STE 12",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585752",
            "telephone_number": "561-746-4242",
            "fax_number": "561-746-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT & SPINAL REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "SUDNYKOVYCH",
        "authorized_official_first_name": "JAYSEN",
        "authorized_official_middle_name": "TORREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-629-3501",
        "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 Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.