Coquina Sport & Spine, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

COQUINA SPORT & SPINE, LLC

Practice address

2820 US 1 S Ste B
St Augustine, FL 32086-6311

Phone

(904) 797-3232

NPI assigned

Jul 7, 2021

Last updated

Dec 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kristin Wimp, DC, ATCNPI 1215468889

Title

Owner

Phone

(904) 797-3232

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• Kristin Wimp, D.C.

  • Chiropractor
  • Santa Monica, CA
  • NPI 1215468889

  FL

  Medicare reassignment NPD Authorized official
• Bryan W. Bell, ,CHIROPRACTOR, P.A.

  • Sports Physician Chiropractor
  • St Augustine, FL
  • NPI 1760522700
  NPD (past)

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1720659154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 US 1 S STE B",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866311",
            "telephone_number": "904-797-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 US 1 S STE B",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866311",
            "telephone_number": "904-797-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COQUINA SPORT & SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "WIMP",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-797-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, ATC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Kathryn Cooper, R.N.
• Maria M Cooper, MD
• Jerald Glenn Coopersmith, ARNP
• Alexandra Copeland, OTR/L
• Paul Alexander Copperthwaite, MPT
• Cora Health Services, Inc. (CORA Physical Therapy - St. Augustine)
• Luis Felipe Cordero, MD
• Jorge L Cordova - Ruiz, M.D
• Core Connection Physical Therapy, LLC
• Tomekeia Coring

• Chiropractor in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.