Organization Active NPI

Full Potential Health PC

Doing business as Full Potential Chiropractic

  • Chiropractor
  • Swampscott, MA
National Provider Identifier
1629747217
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FULL POTENTIAL HEALTH PC
Doing business as
Full Potential Chiropractic
Practice address
186 Burrill St
Swampscott, MA 01907-1835
Phone
(781) 593-2388
NPI assigned
Sep 8, 2021
Last updated
Sep 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Authorized official

Name
Dr. Sara Panarello, DCNPI 1255480588
Title
President
Phone
(781) 593-2388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

186 Burrill St
Swampscott, MA 01907-1835

Mailing address

9 Nahant St
Lynn, MA 01902-3221
Phone (781) 595-6560

Other names 1

  • Full Potential Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210924001010 MA Part B Supplier - Clinic/Group Practice 6608273214 Receives reassigned benefits from 1 practitioner
Practice locations: Swampscott, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1629747217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 NAHANT ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019023221",
            "telephone_number": "781-595-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 BURRILL ST",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071835",
            "telephone_number": "781-593-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL POTENTIAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-08-22",
        "status": "A",
        "authorized_official_last_name": "PANARELLO",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-593-2388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Potential Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Swampscott, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.