Organization Active NPI

Fitness Chiropractic & Rehab LLC

  • Chiropractor
  • Lakeland, FL
National Provider Identifier
1386598530
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FITNESS CHIROPRACTIC & REHAB LLC
Practice address
4406 S Florida Ave Ste 22C
Lakeland, FL 33813-2182
Phone
(863) 600-4976
Fax
(863) 600-5277
NPI assigned
Feb 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Authorized official

Name
Dr. Joan Diaz-Roman, DCNPI 1548759145
Title
Manager
Phone
(863) 330-3733

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

Addresses

Primary practice location

4406 S Florida Ave Ste 22C
Lakeland, FL 33813-2182

Mailing address

5619 Autumn Ridge Rd Apt 107
Lakeland, FL 33805-2793
Phone (863) 600-4976

National Provider Directory

National Provider Directory

Locations

4406 S Florida Ave
Ste 22C
Lakeland, FL 33813
Phone (863) 600-4976

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1771891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1386598530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5619 AUTUMN RIDGE RD APT 107",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052793",
            "telephone_number": "863-600-4976",
            "fax_number": "863-600-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4406 S FLORIDA AVE STE 22C",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132182",
            "telephone_number": "863-600-4976",
            "fax_number": "863-600-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITNESS CHIROPRACTIC & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "DIAZ-ROMAN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "863-330-3733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.