Sal James Pellegrino, DC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CH0005659 Issued in FL

Practice address

4021 N Andrews Ave
Ste. 6
Ft Lauderdale, FL 33309-5297

Phone

(954) 396-3908

Fax

(954) 630-3359

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hawthorne Medical Management, Inc.

  • Chiropractor
  • Boca Raton, FL
  • NPI 1275345860

  Rehabilitation

  NPD Authorized official
• Chiro Med of Southfield, Inc.

  • Rehabilitation Chiropractor
  • Southfield, MI
  • NPI 1730078825
  NPD Authorized official
• Chiro Med of Wayne County, Inc.

  • Rehabilitation Chiropractor
  • Southfield, MI
  • NPI 1508755109
  NPD Authorized official

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508908849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 N ANDREWS AVE",
            "address_2": "STE. 6",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333095297",
            "telephone_number": "954-396-3908",
            "fax_number": "954-630-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 N ANDREWS AVE",
            "address_2": "STE. 6",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333095297",
            "telephone_number": "954-396-3908",
            "fax_number": "954-630-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGRINO",
        "first_name": "SAL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH0005659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "55235",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatrix Medical Group of Florida, Inc
• Jay Bennett Peitzer, MD
• Amanda Kristen Pelaez, LCSW
• Thomas Pelaez, PT, DPT, CSCS
• Lauren Pelkey, LMHC, ATR
• Luis Pellicia-Ramos, MD
• Yaritza Pena Curbelo
• Keyla Maria Pena Docunge
• Sandra Pena Suarez
• Nicole Maria Pena, DMD

• Rehabilitation Chiropractor in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Rehabilitation Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.