NPIMap

Organization Active NPI

M&R Wellness Center, LLC

Doing business as D/B/A Back in Action Chiropractic

  • Chiropractor
  • Port St Lucie, FL
National Provider Identifier
1750774063
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10760 Issued in FL
Legal business name
M&R WELLNESS CENTER, LLC
Doing business as
D/B/A Back in Action Chiropractic
Practice address
621 SE Port St Lucie Blvd
Port St Lucie, FL 34984-5141
Phone
(561) 585-6150
NPI assigned
Mar 11, 2015
Last updated
Dec 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Authorized official

Name
Dr. Michael Purificati, D.C.
Title
Co-Owner/Clinical Manager
Phone
(561) 585-6150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH10760 FL Primary

Addresses

Primary practice location

621 SE Port St Lucie Blvd
Port St Lucie, FL 34984-5141

Mailing address

2311 10TH Avenue North
Suite #2
Lake Worth, FL 33461
Phone (561) 585-6150

Other practice location 1

2311 10th Avenue North
Suite #2
Lake Worth, FL 33461
Phone (561) 585-6150

Other names 1

  • D/B/A Back in Action Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

2311 10th Ave N
Ste 2
Lake Worth, FL 33461
Phone (561) 585-6150

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1750774063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 10TH AVENUE NORTH",
            "address_2": "SUITE #2",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33461",
            "telephone_number": "561-585-6150",
            "fax_number": "561-585-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349845141",
            "telephone_number": "561-585-6150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2311 10th Avenue North",
            "address_2": "Suite #2",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "33461",
            "country_code": "US",
            "telephone_number": "561-585-6150",
            "fax_number": "561-585-6134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "M&R WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "PURIFICATI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CO-OWNER/CLINICAL MANAGER",
        "authorized_official_telephone_number": "561-585-6150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D/B/A Back in Action Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "D/B/A Back in Action Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 12, 2022; 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.