Organization Active NPI

Perkins Chiropractic P.a.

  • Chiropractor
  • Fort Myers, FL
National Provider Identifier
1598908899
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0008131 Issued in FL
Legal business name
PERKINS CHIROPRACTIC P.A.
Practice address
11470 S Cleveland Ave
Fort Myers, FL 33907-2323
Phone
(239) 936-2311
Fax
(239) 936-7391
NPI assigned
Apr 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Authorized official

Name
Phillip Brandon Perkins, D.C.
Title
Owner
Phone
(239) 936-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH0008131 FL Primary

Addresses

Primary practice location

11470 S Cleveland Ave
Fort Myers, FL 33907-2323

Mailing address

11470 S Cleveland Ave
Fort Myers, FL 33907-2323
Phone (239) 936-2311

Other identifiers 1

IdentifierTypeStateIssuer
53992OtherBCBS

National Provider Directory

National Provider Directory

Locations

11470 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 489-2225

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1598908899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11470 S CLEVELAND AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072323",
            "telephone_number": "239-936-2311",
            "fax_number": "239-936-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11470 S CLEVELAND AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072323",
            "telephone_number": "239-936-2311",
            "fax_number": "239-936-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERKINS CHIROPRACTIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-936-2311",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0008131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "53992",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.