NPIMap

Organization Active NPI

Body Logic Chiropractic, Inc

  • Chiropractor
  • N Fort Myers, FL
National Provider Identifier
1679952634
Registry record updated May 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9126 Issued in FL
Legal business name
BODY LOGIC CHIROPRACTIC, INC
Practice address
1880 N Tamiami TRL
N Fort Myers, FL 33903-3366
Phone
(716) 510-7007
NPI assigned
May 23, 2015
Last updated
May 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2015

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

Authorized official

Name
Dr. Raffaela Villella, D.C.NPI 1588617583
Title
Owner/ Chiropractor
Phone
(716) 510-7007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 9126 FL Primary

Addresses

Primary practice location

1880 N Tamiami TRL
N Fort Myers, FL 33903-3366

Mailing address

145 Cordana CT
Venice, FL 34292-1313
Phone (716) 510-7007

National Provider Directory

National Provider Directory

Locations

1880 N Tamiami Trl
North Fort Myers, FL 33903
Phone (716) 510-7007

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": "1432339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432339200000",
    "number": "1679952634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 CORDANA CT",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921313",
            "telephone_number": "716-510-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 N TAMIAMI TRL",
            "city": "N FORT MYERS",
            "state": "FL",
            "postal_code": "339033366",
            "telephone_number": "716-510-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY LOGIC CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-23",
        "last_updated": "2015-05-23",
        "status": "A",
        "authorized_official_last_name": "VILLELLA",
        "authorized_official_first_name": "RAFFAELA",
        "authorized_official_title_or_position": "OWNER/ CHIROPRACTOR",
        "authorized_official_telephone_number": "716-510-7007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "9126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2015; 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.