Individual provider Active NPI

Susan Parker Sanders, D.C.

  • Rehabilitation Chiropractor
  • Fort Pierce, FL
National Provider Identifier
1689727620
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CH9771 Issued in FL
Practice address
4842 N Kings Hwy
Fort Pierce, FL 34951-2243
Phone
(772) 882-0701
Fax
(888) 920-1114
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR006324 GA
Rehabilitation Chiropractor 111NR0400X CH9771 FL Primary

Addresses

Primary practice location

4842 N Kings Hwy
Fort Pierce, FL 34951-2243

Mailing address

4842 N Kings Hwy
Fort Pierce, FL 34951-2243
Phone (772) 882-0701

Other identifiers 1

IdentifierTypeStateIssuer
019857200MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130717000467 FL Practitioner - Chiropractic 1951540582 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2705 Peters Rd
Fort Pierce, FL 34945-2613
Phone (772) 882-0701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR006324GAMDChiropractor
6324GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Papa, D.C.,P.a. Chiropractor CurrentSince Jan 3, 2017 Accepting new patients
Michael Papa DC PA Chiropractor Current Accepting new patients
Michael Papa,D.C.,P.a. Chiropractor CurrentSince Jan 3, 2017 Accepting new patients
St. Lucie Injury and Health, LLC Rehabilitation CurrentSince Jan 30, 2018 Accepting new patients
Inner Wellness Centers of Florida, LLC Chiropractor PastSince Apr 1, 2013 Accepting new patients

Locations

4842 N Kings Hwy
Fort Pierce, FL 34951
Phone (772) 405-7877

4814 S US Highway 1
Fort Pierce, FL 34982

2705 Peters Rd
Fort Pierce, FL 34945
Phone (772) 882-0701

2705 Peters Rd
Ste 50
Fort Pierce, FL 34945

2632 W Indiantown Rd
Jupiter, FL 33458
Phone (561) 437-4310

9109 S US Highway 1
Ste 102
Port St Lucie, FL 34952
Phone (772) 253-1642

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1689727620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4842 N KINGS HWY",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349512243",
            "telephone_number": "772-882-0701",
            "fax_number": "888-920-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4842 N KINGS HWY",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349512243",
            "telephone_number": "772-882-0701",
            "fax_number": "888-920-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "SUSAN",
        "middle_name": "PARKER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006324",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH9771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019857200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.