NPIMap

Organization Active NPI

Palm Harbor Chiropractic and Rehabilitation Clinic, Inc.

  • Rehabilitation Chiropractor
  • Palm Harbor, FL
National Provider Identifier
1487623229
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CH7842 Issued in FL
Legal business name
PALM HARBOR CHIROPRACTIC AND REHABILITATION CLINIC, INC.
Practice address
36081 US Highway 19 N
Palm Harbor, FL 34684-1531
Phone
(727) 786-7574
Fax
(727) 773-0863
NPI assigned
Mar 15, 2006
Last updated
Mar 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Authorized official

Name
Jamie Niehr
Title
Billing Manager
Phone
(727) 786-7574

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X CH7842 FL
Rehabilitation Chiropractor 111NR0400X CH7842 FL Primary

Addresses

Primary practice location

36081 US Highway 19 N
Palm Harbor, FL 34684-1531

Mailing address

36081 US Highway 19 N
Palm Harbor, FL 34684-1531
Phone (727) 786-7574

Other identifiers 2

IdentifierTypeStateIssuer
53945OtherFLBLUE CROSS AND BLUE SHIEL
381350900MedicaidFL

National Provider Directory

National Provider Directory

Locations

34258 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 786-7574

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1487623229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36081 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841531",
            "telephone_number": "727-786-7574",
            "fax_number": "727-773-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36081 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841531",
            "telephone_number": "727-786-7574",
            "fax_number": "727-773-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM HARBOR CHIROPRACTIC AND REHABILITATION CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "NIEHR",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "727-786-7574"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "FL",
            "license": "CH7842",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH7842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "53945",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381350900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.