Alexis G Aqui, D.C.
Individual provider Active NPI Chiropractor · Bartow, FL
NPI 1649245481 · NPPES record last updated Aug 21, 2012
Key facts
- NPI
- 1649245481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH7980 (FL)
- Practice address
- 1350 E Main Street
Suite B1
Bartow, FL 33830 - Phone
- (863) 534-3288
- Fax
- (863) 534-3436
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1350 E Main St
B 1
Bartow, FL 33830-5064
Phone (863) 534-3288
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070621000403 | FL | Practitioner - Chiropractic | 1052410701 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH7980 | FL | MD | Chiropractor |
| 7980 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aqui Chiropractic Clinic LLC | Chiropractor | Current |
Accepting new patients |
| Community Rehab & Wellness Inc | Past |
Accepting new patients |
Locations
1350 E Main St
Ste B-4
Bartow, FL 33830
Phone (863) 534-3288
1350 E Main St
Ste B-1
Bartow, FL 33830
Phone (863) 534-3288
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH7980 | FL | Yes |
Addresses
Primary practice location
1350 E Main Street
Suite B1
Bartow, FL 33830
Mailing address
1350 E Main Street
Suite B-1
Bartow, FL 33830
Phone (863) 534-3288
Other providers in Bartow, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.