Sport & Spinal Rehab

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9605 Issued in FL

Legal business name

SPORT & SPINAL REHAB

Practice address

275 Toney Penna Dr
Suite 12
Jupiter, FL 33458-5752

Phone

(561) 746-4242

Fax

(561) 746-7405

NPI assigned

Nov 18, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Brandon Travis Nevel, D.C.NPI 1174789432

Title

Owner

Phone

(561) 746-4242

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon Travis Nevel, D.C.

  • Chiropractor
  • Jupiter, FL
  • NPI 1174789432
  NPD Authorized official

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1740557776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 TONEY PENNA DR",
            "address_2": "SUITE 12",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585752",
            "telephone_number": "561-746-4242",
            "fax_number": "561-746-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 TONEY PENNA DR",
            "address_2": "SUITE 12",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585752",
            "telephone_number": "561-746-4242",
            "fax_number": "561-746-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT & SPINAL REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "NEVEL",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-746-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spinal Decompression of South Florida, LLC
• Madalyn Marie Spindle, APRN
• Spine Health and Wellness Solutions LLC
• Spine LLC
• Sport & Spinal Rehab
• Sport & Spinal Rehab LLC
• Sportperform
• Sports and Spine Injury Center PA
• Jaimie St Ama, PSY.D.
• Jose Stable, MD

• Chiropractor in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.