Kotila Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 9719 Issued in FL

Legal business name

KOTILA CHIROPRACTIC INC

Practice address

330 Pauls Dr
Suite 102
Brandon, FL 33511-4801

Phone

(813) 643-1242

NPI assigned

Nov 8, 2010

Organization subpart

No

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

Authorized official

Name

Gary J Kotila, D.C.

Title

President

Phone

(813) 643-1242

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim McCullough, F.N.P.

  • Family Nurse Practitioner
  • Brandon, FL
  • NPI 1174970487
  NPD
• Mayra I Alfonso, MD

  • Physical Medicine & Rehabilitation Physician
  • West Palm Beach, FL
  • NPI 1033298393
  NPD (past)

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1679874606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 PAULS DR",
            "address_2": "SUITE 102",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114801",
            "telephone_number": "813-643-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 PAULS DR",
            "address_2": "SUITE 102",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114801",
            "telephone_number": "813-643-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOTILA CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "KOTILA",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-643-1242",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 9719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Konz
• Melson Mathew Korattiyil, P.T, D.P.T, M.P.H
• Elena Korytnikova
• Eleni Kostidakis
• Rajesh Kotak, M.D.
• Kotila Massage & Wellness Inc
• Kotila Spine & Joint Center of Brandon LLC
• Gary J Kotila, DC
• Samer Koussayer, MD
• Caitlin Krakower

• Chiropractor in Brandon, FL
• Providers in Brandon, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.