Organization Active NPI

Crosstown Spine & Rehabilitation LLC

Doing business as Cr

  • Rehabilitation Chiropractor
  • Port St Lucie, FL
National Provider Identifier
1386457000
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
CROSSTOWN SPINE & REHABILITATION LLC
Doing business as
Cr
Crosstown Spine & Rehab
Practice address
8707 S US Highway 1
Port St Lucie, FL 34952-3333
Phone
(321) 436-9343
NPI assigned
Jan 28, 2025
Last updated
Jan 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Mr. Martin Farrell
Title
Manager
Phone
(207) 706-6810

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

8707 S US Highway 1
Port St Lucie, FL 34952-3333

Mailing address

173 Main St
Thomaston, ME 04861-3807
Phone (207) 706-6810

Other names 2

  • Cr Doing business as
  • Crosstown Spine & Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

8707 S US Highway 1
Port St Lucie, FL 34952
Phone (321) 436-9343

NPI Registry JSON

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1386457000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 MAIN ST",
            "city": "THOMASTON",
            "state": "ME",
            "postal_code": "048613807",
            "telephone_number": "207-706-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8707 S US HIGHWAY 1",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523333",
            "telephone_number": "321-436-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSTOWN SPINE & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "207-706-6810",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cr",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crosstown Spine & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.