Active NPI
Treasure Coast Chiropractic, Inc
- Chiropractor
- Fort Pierce, FL
National Provider Identifier
1730453903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH4497
- Legal business name
- TREASURE COAST CHIROPRACTIC, INC
- Practice address
- 5705 Buchanan Dr
Fort Pierce, FL 34982-3253 - Phone
- (772) 353-2740
- NPI assigned
- Mar 5, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregg Jeffrey Rothstein, D.C.
- Title
- President
- Phone
- (772) 353-2740
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH4497 | FL | Primary |
Addresses
Primary practice location
5705 Buchanan Dr
Fort Pierce, FL 34982-3253
Mailing address
5705 Buchanan Dr
Fort Pierce, FL 34982-3253
Phone (772) 353-2740
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FY498A | Other | PTAN | |
| 1730453903 | Other | NPI |
National Provider Directory
National Provider DirectoryLocations
1894 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (407) 398-1433
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Port St Lucie, FL
- NPI 1689879504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469059200000",
"number": "1730453903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5705 BUCHANAN DR",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349823253",
"telephone_number": "772-353-2740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5705 BUCHANAN DR",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349823253",
"telephone_number": "772-353-2740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TREASURE COAST CHIROPRACTIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-05",
"last_updated": "2016-07-21",
"status": "A",
"authorized_official_last_name": "ROTHSTEIN",
"authorized_official_first_name": "GREGG",
"authorized_official_middle_name": "JEFFREY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "772-353-2740",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH4497",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "FY498A",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1730453903",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Pierce, FL
- Total Approach Rehab LLC
- Iva Toussaint-Zollicoffer, ARNP A.N.P.- BC
- Hailey Towerton, LM
- Angela Maria Townsley, M.S.W.
- Tran-Stim Solutions, Inc.
- Treasure Coast Injury and Wellness Centre
- Treasure Coast J -Tacs, Inc.
- Treasure Coast Medical Group, PA
- Treasure Coast Medortho LLC
- Treasure Coast Mobile Rehab
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.