Individual provider Active NPI

Lisa Ann Grassam, D.C.

  • Chiropractor
  • Stuart, FL
National Provider Identifier
1396940987
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8213 Issued in FL
Practice address
516 S Colorado Ave
Stuart, FL 34994-3014
Phone
(772) 286-5433
Fax
(772) 286-4023
NPI assigned
Jun 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8213 FL Primary

Addresses

Primary practice location

516 S Colorado Ave
Stuart, FL 34994-3014

Mailing address

516 Colorado Ave
Stuart, FL 34994-3014
Phone (772) 286-5433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120117000736 FL Practitioner - Chiropractic 6507998861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grassam Family Chiropractic IncGroup PAC ID 7719019033, 2 clinicians

Practice addresses (Care Compare)

516 Colorado Ave
Stuart, FL 34994-3014
Phone (772) 286-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grassam Family Chiropractic Inc Chiropractor CurrentSince Jun 29, 2001 Accepting new patients

Locations

1928 SE Federal Hwy
Stuart, FL 34994
Phone (866) 353-9881

516 S Colorado Ave
Stuart, FL 34994
Phone (772) 215-4004

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1396940987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 COLORADO AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943014",
            "telephone_number": "772-286-5433",
            "fax_number": "772-286-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 S COLORADO AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943014",
            "telephone_number": "772-286-5433",
            "fax_number": "772-286-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASSAM",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.