Individual provider Active NPI

Addison Aydin Ozakyol

  • Chiropractor
  • Clearwater, FL
National Provider Identifier
1447603154
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13417 Issued in FL
Practice address
28051 US Highway 19 N Ste 106
Clearwater, FL 33761-2642
Phone
(727) 400-6000
NPI assigned
Jul 18, 2016
Last updated
Feb 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13417 FL Primary
Athletic Trainer 2255A2300X NU

Addresses

Primary practice location

28051 US Highway 19 N Ste 106
Clearwater, FL 33761-2642

Mailing address

28051 US Highway 19 N Ste 106
Clearwater, FL 33761-2642
Phone (727) 400-6000

Other practice location 1

8805 Horacio Pl NE
Albuquerque, NM 87111-3221
Phone (505) 362-0161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13417FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Physical Medicine, Inc. Chiropractor PastSince Apr 1, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: addison.ozakyol.1@11209.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1447603154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28051 US HIGHWAY 19 N STE 106",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612642",
            "telephone_number": "727-400-6000",
            "fax_number": "727-999-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28051 US HIGHWAY 19 N STE 106",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612642",
            "telephone_number": "727-400-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8805 Horacio Pl NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871113221",
            "country_code": "US",
            "telephone_number": "505-362-0161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OZAKYOL",
        "first_name": "ADDISON",
        "middle_name": "AYDIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-18",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "13417",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.