Individual provider Active NPI

Alicia Savastano, DC

  • Pediatric Chiropractor
  • Fort Myers, FL
National Provider Identifier
1609686906
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
CH15189 Issued in FL
Practice address
12731 World Plaza LN BLDG 83-1
Fort Myers, FL 33907-4081
Phone
(919) 225-1792
NPI assigned
Jan 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Chiropractor 111NP0017X CH15189 FL Primary

Addresses

Primary practice location

12731 World Plaza LN BLDG 83-1
Fort Myers, FL 33907-4081

Mailing address

12731 World Plaza LN BLDG 83-1
Fort Myers, FL 33907-4081
Phone (919) 225-1792

Other practice location 1

1611 Santa Barbara Blvd Ste 170
Cape Coral, FL 33991-3448
Phone (239) 887-3283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric & Perinatal Corp Pediatric Chiropractor CurrentSince Jan 6, 2025 Accepting new patients

Locations

12731 World Plaza Ln
Ste 1
Fort Myers, FL 33907
Phone (239) 839-0337

12731 World Plaza Ln
Bldg 831
Fort Myers, FL 33907
Phone (239) 839-0337

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1609686906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12731 WORLD PLAZA LN BLDG 83-1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074081",
            "telephone_number": "919-225-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12731 WORLD PLAZA LN BLDG 83-1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074081",
            "telephone_number": "919-225-1792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 Santa Barbara Blvd Ste 170",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339913448",
            "country_code": "US",
            "telephone_number": "239-887-3283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAVASTANO",
        "first_name": "ALICIA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "FL",
            "license": "CH15189",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 9, 2025; 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.