Organization Active NPI

Adjust Your Life Chiropractic Sarasota LLC

  • Chiropractor
  • Sarasota, FL
National Provider Identifier
1558085639
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ADJUST YOUR LIFE CHIROPRACTIC SARASOTA LLC
Practice address
8262 Bee Ridge Rd
Sarasota, FL 34241-6311
Phone
(941) 799-7207
Fax
(941) 799-2077
NPI assigned
Oct 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Authorized official

Name
Dr. Colleen Ford, DCNPI 1760750483
Title
Ceo
Phone
(941) 799-7207

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

8262 Bee Ridge Rd
Sarasota, FL 34241-6311

Mailing address

6410 Shoal Creek Street Cir
Bradenton, FL 34202-1711
Phone (941) 302-1180

Other names 1

  • Adjust Your Life Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230214001818 FL Part B Supplier - Clinic/Group Practice 9638541980 Receives reassigned benefits from 2 practitioners
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Locations

10910 State Road 70 E
Lakewood Ranch, FL 34202

10910 State Road 70 E
Ste 101
Lakewood Ranch, FL 34202
Phone (941) 749-7207

8262 Bee Ridge Rd
Sarasota, FL 34241
Phone (941) 799-7207

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1558085639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 SHOAL CREEK STREET CIR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342021711",
            "telephone_number": "941-302-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8262 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342416311",
            "telephone_number": "941-799-7207",
            "fax_number": "941-799-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADJUST YOUR LIFE CHIROPRACTIC SARASOTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-799-7207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adjust Your Life Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adjust Your Life Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.