Organization Active NPI

Physical Health Care Advisors, PLLC

  • Chiropractor
  • Clearwater, FL
National Provider Identifier
1578886396
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8772 Issued in FL
Legal business name
PHYSICAL HEALTH CARE ADVISORS, PLLC
Practice address
3001 Eastland Blvd
Building G, Suite 2
Clearwater, FL 33761-4104
Phone
(727) 797-0500
Fax
(727) 797-0050
NPI assigned
Mar 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Dr. Eric K Groteke, DC
Title
President
Phone
(727) 797-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8772 FL Primary

Addresses

Primary practice location

3001 Eastland Blvd
Building G, Suite 2
Clearwater, FL 33761-4104

Mailing address

3001 Eastland Blvd
Building G, Suite 2
Clearwater, FL 33761-4104
Phone (727) 797-0500

Other identifiers 5

IdentifierTypeStateIssuer
656080OtherFLUNITED HEALTH CARE
9067913OtherFLCIGNA
1038157OtherFLAM ERICAN SPECIALTY HEALTH
1147626OtherFLFIRST HEALTH
71494OtherFLBLUE CROSS BLUE SHIELF OF FL

National Provider Directory

National Provider Directory

Locations

3001 Eastland Blvd
Ste 2
Clearwater, FL 33761
Phone (727) 526-2771

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1578886396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 EASTLAND BLVD",
            "address_2": "BUILDING G, SUITE 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614104",
            "telephone_number": "727-797-0500",
            "fax_number": "727-797-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 EASTLAND BLVD",
            "address_2": "BUILDING G, SUITE 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614104",
            "telephone_number": "727-797-0500",
            "fax_number": "727-797-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL HEALTH CARE ADVISORS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "GROTEKE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-797-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "656080",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9067913",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AM ERICAN SPECIALTY HEALTH",
            "identifier": "1038157",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1147626",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELF OF FL",
            "identifier": "71494",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.