Individual provider Active NPI

Jillian Tara Sanda, D.C.

  • Chiropractor
  • Port St Lucie, FL
National Provider Identifier
1730628009
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13900 Issued in FL
Practice address
1696 SE Hillmoor Dr Ste C
Port St Lucie, FL 34952-7699
Phone
(772) 335-3222
Fax
(772) 335-3793
NPI assigned
Feb 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00742400 NJ
Chiropractor 111N00000X CH13900 FL Primary

Addresses

Primary practice location

1696 SE Hillmoor Dr Ste C
Port St Lucie, FL 34952-7699

Mailing address

1696 SE Hillmoor Dr Ste C
Port St Lucie, FL 34952-7699
Phone (772) 335-3222

Other names 1

  • Jillian Tara Gelb Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250610001822 FL Practitioner - Chiropractic 7719246719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gentle Chiropractic Offices, Inc.Group PAC ID 7113064684, 2 clinicians

Practice addresses (Care Compare)

1696 SE Hillmoor Dr
Suite C
Port Saint Lucie, FL 34952-7699
Phone (772) 335-3222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gentle Chiropractic Offices, Inc. Chiropractor CurrentSince Jun 4, 2025 Accepting new patients

Locations

1696 SE Hillmoor Dr
Ste C
Port St Lucie, FL 34952
Phone (772) 335-3222

Organizations & group practices 1

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": "1487462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1730628009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1696 SE HILLMOOR DR STE C",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527699",
            "telephone_number": "772-335-3222",
            "fax_number": "772-335-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1696 SE HILLMOOR DR STE C",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527699",
            "telephone_number": "772-335-3222",
            "fax_number": "772-335-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDA",
        "first_name": "JILLIAN",
        "middle_name": "TARA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-19",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00742400",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "GELB",
            "middle_name": "TARA",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.