Performance Spine & Sport Rehabilitation Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 10892 Issued in FL

Legal business name

PERFORMANCE SPINE & SPORT REHABILITATION INC

Practice address

10945 N Military TRL
Palm Beach Gardens, FL 33410-6501

Phone

(561) 400-1528

Fax

(561) 412-1277

NPI assigned

Aug 29, 2016

Last updated

Dec 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Mac Swaringen, D.C.NPI 1982943940

Title

President/Owner

Phone

(561) 400-1528

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Mac Swaringen, D.C.

  • Chiropractor
  • Palm Beach Gardens, FL
  • NPI 1982943940
  Medicare reassignment Authorized official
• Tyler Scott Kelder, DC

  • Chiropractor
  • Lake Park, FL
  • NPI 1801753009
  Medicare reassignment NPD

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1417403577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10945 N MILITARY TRL",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106501",
            "telephone_number": "561-400-1528",
            "fax_number": "561-412-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10945 N MILITARY TRL",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106501",
            "telephone_number": "561-400-1528",
            "fax_number": "561-412-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE SPINE & SPORT REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "SWARINGEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MAC",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "561-400-1528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nilda Perez
• Raul A Perez, DMD, MS
• Sussi F. Perez, M.S.,M.ED. LMHC
• Vanessa Marie Perez, PA-C
• Performance and Wellness Chiropractic Inc.
• Leslie H Perla, MD
• Roselandy Perou
• Anthony E Perrotti, D.O.
• Perry Family Health Incorporated
• Elizabeth Anne Perry, AP, DOM

• Chiropractor in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.