Individual provider Active NPI

Elizabeth Hardin, DC

  • Chiropractor
  • Titusville, FL
National Provider Identifier
1700400207
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13126 Issued in FL
Practice address
Florida Sports and Spinal Rehab
3910 S. Washington Ave.
Titusville, FL 32780
Phone
(321) 267-0188
NPI assigned
Jun 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 13126 FL Primary

Addresses

Primary practice location

Florida Sports and Spinal Rehab
3910 S. Washington Ave.
Titusville, FL 32780

Mailing address

2072 Sun Valley St
Titusville, FL 32780-6836
Phone (321) 355-8932

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200908000578 FL Practitioner - Chiropractic 5799102786 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13126FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Partners of Florida LLC Single Specialty CurrentSince Mar 21, 2024 Accepting new patients
Dr Tanya Schrumpf DC Inc Single Specialty CurrentSince Jun 1, 2020 Accepting new patients

Locations

1861 South Patrick Dr
Indian Harbour Beach, FL 32937
Phone (321) 610-8880

8043 Spyglass Hill Rd
Ste 102
Melbourne, FL 32940
Phone (321) 755-6899

3910 S Washington Ave
Ste 109
Titusville, FL 32780
Phone (321) 267-0188

8043 Spyglass Hill Rd
Viera, FL 32940
Phone (321) 255-6670

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1700400207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2072 SUN VALLEY ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327806836",
            "telephone_number": "321-355-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FLORIDA SPORTS AND SPINAL REHAB",
            "address_2": "3910 S. WASHINGTON AVE.",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "32780",
            "telephone_number": "321-267-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "13126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.