Individual provider Active NPI

Paul Anthony Tripp, D.C.

  • Chiropractor
  • Port St Lucie, FL
National Provider Identifier
1699196832
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH15212 Issued in FL
Practice address
648 SW Nichols Ter
Port St Lucie, FL 34953-1941
Phone
(770) 843-1762
NPI assigned
Dec 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH15212 FL Primary

Addresses

Primary practice location

648 SW Nichols Ter
Port St Lucie, FL 34953-1941

Mailing address

648 SW Nichols Ter
Port St Lucie, FL 34953-1941
Phone (770) 843-1762

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250730003314 FL Practitioner - Chiropractic 4486968591 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Palm Beach Rehab, Corp Chiropractor CurrentSince Dec 26, 2025 Accepting new patients
Michael Papa,D.C.,P.a. Chiropractor CurrentSince Jul 3, 2025 Accepting new patients
Restore Motion LLC Current Accepting new patients
Michael Papa DC PA Chiropractor CurrentSince Jul 3, 2025 Accepting new patients
Royal Palm Beach Rehab, Corp Chiropractor CurrentSince Dec 26, 2025 Accepting new patients

Locations

4971 Le Chalet Blvd
Ste 100
Boynton Beach, FL 33436
Phone (561) 733-5590

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

10377 S US Highway 1
Ste 101
Port St Lucie, FL 34952
Phone (772) 337-1300

Networks

  • Freedom Health HMO Network

Organizations & group practices 6

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": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1699196832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 SW NICHOLS TER",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349531941",
            "telephone_number": "770-843-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 SW NICHOLS TER",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349531941",
            "telephone_number": "770-843-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPP",
        "first_name": "PAUL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-13",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH15212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.