Organization Active NPI

Raw Wellness Group LLC

  • Chiropractor
  • Stuart, FL
National Provider Identifier
1497591903
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RAW WELLNESS GROUP LLC
Practice address
838 SW Federal Hwy
Stuart, FL 34994-2939
Phone
(561) 385-1963
NPI assigned
Jul 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Philip Scuderi
Title
Owner/Chiropractor
Phone
(561) 317-4561

Specialties & licenses 1

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

Addresses

Primary practice location

838 SW Federal Hwy
Stuart, FL 34994-2939

Mailing address

838 SW Federal Hwy
Stuart, FL 34994-2939
Phone (561) 385-1963

Other names 1

  • Raw Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

838 SW Federal Hwy
Stuart, FL 34994
Phone (561) 385-1963

NPI Registry JSON

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1497591903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 SW FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942939",
            "telephone_number": "561-385-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 SW FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942939",
            "telephone_number": "561-385-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAW WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "SCUDERI",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "561-317-4561"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raw Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 16, 2024; 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.