Organization Active NPI

Woodbury Chiropractic LLC

Doing business as Gulf Coast Chiropractic

  • Chiropractor
  • Fort Myers, FL
National Provider Identifier
1699477570
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WOODBURY CHIROPRACTIC LLC
Doing business as
Gulf Coast Chiropractic
Practice address
13461 Parker Commons Blvd Ste 203
Fort Myers, FL 33912-1839
Phone
(701) 880-8911
NPI assigned
Mar 21, 2023
Last updated
Mar 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Authorized official

Name
Dr. Colton Woodbury, DCNPI 1457052466
Title
Business Owner
Phone
(701) 880-8911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

13461 Parker Commons Blvd Ste 203
Fort Myers, FL 33912-1839

Mailing address

13461 Parker Commons Blvd Ste 203
Fort Myers, FL 33912-1839
Phone (701) 880-8911

Other names 1

  • Gulf Coast Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230412000267 FL Part B Supplier - Clinic/Group Practice 6507231222 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

13461 Parker Commons Blvd
Fort Myers, FL 33912
Phone (239) 768-3005

13461 Parker Commons Blvd
Ste 203
Fort Myers, FL 33912
Phone (239) 768-3005

Practitioners & affiliated clinicians

Practitioners 3

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": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1699477570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13461 PARKER COMMONS BLVD STE 203",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121839",
            "telephone_number": "701-880-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13461 PARKER COMMONS BLVD STE 203",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121839",
            "telephone_number": "701-880-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBURY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "WOODBURY",
        "authorized_official_first_name": "COLTON",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "701-880-8911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.