Teachout Chiropractic & Wellness Center PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

TEACHOUT CHIROPRACTIC & WELLNESS CENTER PA

Practice address

16521 San Carlos Blvd Ste 220
Fort Myers, FL 33908-5245

Phone

(239) 466-5656

Fax

(239) 466-1102

NPI assigned

Dec 9, 2016

Organization subpart

No

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

Authorized official

Name

Amy Teachout

Title

Vice President

Phone

(239) 466-5656

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Eric Boyd Teachout, D.C.

  • Chiropractor
  • Fort Myers, FL
  • NPI 1902837958
  Medicare reassignment NPD

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1780128777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16521 SAN CARLOS BLVD STE 220",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339085245",
            "telephone_number": "239-466-5656",
            "fax_number": "239-466-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16521 SAN CARLOS BLVD STE 220",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339085245",
            "telephone_number": "239-466-5656",
            "fax_number": "239-466-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEACHOUT CHIROPRACTIC & WELLNESS CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-09",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "TEACHOUT",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "239-466-5656"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 12025",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "RWAIE",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "4ZZ2M",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Taylor
• Michele Taylor
• Nathaniel Taylor, RBT
• Ryan Taylor, D.O.
• Teresa Herrero Taylor II, PHD BCBA-D
• Eric Boyd Teachout, D.C.
• Team Gindele PA
• Team Regency Healthcare, LLC
• Trent Theodore Tedesco, MPT
• Richard Russell Teed Jr., M.D.

• Chiropractor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.