Vital Wellness Chiropractic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

VITAL WELLNESS CHIROPRACTIC PA

Practice address

3543 SW Corporate Pkwy
Palm City, FL 34990-8151

Phone

(772) 232-4091

NPI assigned

Jun 3, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Brandon Levenick, DCNPI 1013456359

Title

Chiropractic Physician

Phone

(248) 207-0176

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vital Wellness Center Doing business as

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.

• Brandon Levenick, D.C.

  • Chiropractor
  • Palm City, FL
  • NPI 1013456359
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1609442284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 SW ROMAINE LN",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349533605",
            "telephone_number": "248-207-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3543 SW CORPORATE PKWY",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349908151",
            "telephone_number": "772-232-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL WELLNESS CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "LEVENICK",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "248-207-0176",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "1013456359",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theresa Villa
• Julie Villoria
• Michele Anne Villwock
• Tayler Olin Vinciguerra
• Vital Chiropractic Wellness Center PA
• Vitality for Men, PLLC
• Rebeca Isabel Volcy
• Amy C Voll
• Walgreen Co
• Dawn Michelle Walker

• Chiropractor in Palm City, FL
• Providers in Palm City, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.