Individual provider Active NPI

Alexis Hartwig, DC, ATC

  • Chiropractor
  • Melbourne, FL
National Provider Identifier
1619509973
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH15227 Issued in FL
Practice address
2751 Bradfordt Dr
Melbourne, FL 32904-7324
Phone
(585) 329-3703
NPI assigned
Feb 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Chiropractor 111N00000X CH15227 FL Primary

Addresses

Primary practice location

2751 Bradfordt Dr
Melbourne, FL 32904-7324

Mailing address

2751 Bradfordt Dr
Melbourne, FL 32904-7324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241127002416 FL Practitioner - Chiropractic 9638604606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy Family Chiropractic Clinic L L CGroup PAC ID 9638520299, 3 clinicians

Practice addresses (Care Compare)

5200 Babcock St NE
Suite 400a
Palm Bay, FL 32905-4612
Phone (321) 328-0086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH15227FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Family Chiropractic Clinic L L C Chiropractor CurrentSince Nov 16, 2024 Accepting new patients

Locations

5200 Babcock St NE
Ste 400A
Palm Bay, FL 32905
Phone (321) 328-0086

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": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1619509973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 BRADFORDT DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329047324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 BRADFORDT DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329047324",
            "telephone_number": "585-329-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTWIG",
        "first_name": "ALEXIS",
        "credential": "DC, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH15227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.