Organization Active NPI

Fitness Chiropractic LLC

  • Chiropractor
  • Cape Coral, FL
National Provider Identifier
1508446485
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FITNESS CHIROPRACTIC LLC
Practice address
4002 Del Prado Blvd S
Cape Coral, FL 33904-7159
Phone
(239) 961-6405
NPI assigned
Apr 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Branden Blaustein, D.C.
Title
MNGR/Dr
Phone
(239) 961-6405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4002 Del Prado Blvd S
Cape Coral, FL 33904-7159

Mailing address

4002 Del Prado Blvd S
Cape Coral, FL 33904-7159
Phone (239) 961-6405

National Provider Directory

National Provider Directory

Locations

4002 Del Prado Blvd S
Cape Coral, FL 33904
Phone (239) 961-6405

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1508446485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047159",
            "telephone_number": "239-961-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047159",
            "telephone_number": "239-961-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITNESS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "BLAUSTEIN",
        "authorized_official_first_name": "BRANDEN",
        "authorized_official_title_or_position": "MNGR/DR",
        "authorized_official_telephone_number": "239-961-6405",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

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