Jacosta PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JACOSTA PA

Practice address

1365 S Military TRL
Deerfield Beach, FL 33442-7634

Phone

(954) 571-8100

NPI assigned

Aug 22, 2022

Organization subpart

No

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

Authorized official

Name

Jacqueline Tsiapalis

Title

Owner

Phone

(954) 571-8100

Specialties & licenses 1

Addresses

Other names 1

• Great Life Chiropractic Doing business as

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1376261628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 S MILITARY TRL",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334427634",
            "telephone_number": "954-571-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 S MILITARY TRL",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334427634",
            "telephone_number": "954-571-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOSTA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "TSIAPALIS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-571-8100"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Life Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Ann Jackson, FNP-C
• Tammorah Deletrius Jackson
• Andrew Jacobs, PHARMD
• Autum Kerry Jacobs, RBT
• Susan Ann Jacobson Hopkins
• Leslie Alejandra Jadan
• Sahar Aliza Jafri, PA-C
• Susan Jagmohan
• Selena Jagnanan
• Jaime Gossan OD, PA

• Chiropractor in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.