Sage Chiropractic and Vitality Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SAGE CHIROPRACTIC AND VITALITY CENTER, LLC

Practice address

400 S Atlantic Ave Ste 114
Ormond Beach, FL 32176-7142

Phone

(386) 301-4393

NPI assigned

Aug 10, 2023

Last updated

Aug 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kelsey Lauren Pilati, DC

Title

Chiropractor/Owner

Phone

(330) 205-1914

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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.

• Kelsey Lauren Pilati-Willis, DC

  • Neurology Chiropractor
  • Ormond Beach, FL
  • NPI 1962717413
  Medicare reassignment NPD

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1568145035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S ATLANTIC AVE STE 114",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321767142",
            "telephone_number": "386-301-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S ATLANTIC AVE STE 114",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321767142",
            "telephone_number": "386-301-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE CHIROPRACTIC AND VITALITY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "PILATI",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_middle_name": "LAUREN",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "330-205-1914",
        "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": []
}

• RX Group One LLC (Community Pharmacy of Ormond Beach)
• Taylor Morgan Ryan
• Evette Adel Saad, PHARMACIST
• Sachaka PLLC
• Reena Sachdev, M.D.
• Sage Dental of Ormond Beach, PLLC
• Sage Medical Laboratory, LLC
• Sage Systems Inc (Sage Medical Laboratory)
• Regina M Saglibene
• Sahai Pediatrics, P.a.

• Chiropractor in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.