Organization Active NPI

Health in Motion Chiropractic and Rehabilitation, LLC

Doing business as New Leaf Chiropractic Wellness Center

  • Chiropractor
  • Lutz, FL
National Provider Identifier
1669152906
Registry record updated Oct 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HEALTH IN MOTION CHIROPRACTIC AND REHABILITATION, LLC
Doing business as
New Leaf Chiropractic Wellness Center
Practice address
2029 Osprey LN Ste B
Lutz, FL 33549-9361
Phone
(813) 254-2500
NPI assigned
Jul 21, 2023
Last updated
Oct 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2023

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

Authorized official

Name
Al Berry, DC
Title
Credentialing Manager
Phone
(321) 320-7512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2029 Osprey LN Ste B
Lutz, FL 33549-9361

Mailing address

2029 Osprey LN Ste B
Lutz, FL 33549-9361
Phone (716) 310-9355

Other names 1

  • New Leaf Chiropractic Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231018000030 FL Part B Supplier - Clinic/Group Practice 1850746454 Receives reassigned benefits from 1 practitioner
Practice locations: Lutz, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696723200000",
    "number": "1669152906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 OSPREY LN STE B",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335499361",
            "telephone_number": "716-310-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 OSPREY LN STE B",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335499361",
            "telephone_number": "813-254-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH IN MOTION CHIROPRACTIC AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-10-08",
        "certification_date": "2023-10-08",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "321-320-7512",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Leaf Chiropractic Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Leaf Chiropractic Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2023; 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.