Individual provider Active NPI

Kyrah Breanna Changoo, DC

  • Chiropractor
  • Boynton Beach, FL
National Provider Identifier
1780489500
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15138 Issued in FL
Practice address
4971 Le Chalet Blvd Ste 100
Boynton Beach, FL 33436-1418
Phone
(561) 791-9090
NPI assigned
Feb 17, 2025
Last updated
Feb 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15138 FL Primary

Addresses

Primary practice location

4971 Le Chalet Blvd Ste 100
Boynton Beach, FL 33436-1418

Mailing address

4971 Le Chalet Blvd Ste 100
Boynton Beach, FL 33436-1418
Phone (561) 791-9090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250219001917 FL Practitioner - Chiropractic 7810417987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Royal Palm Beach Rehab, CorpGroup PAC ID 3476683335, 62 clinicians

Practice addresses (Care Compare)

4971 Le Chalet Blvd
Suite 100
Boynton Beach, FL 33436-1418
Phone (561) 733-5590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15138FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Palm Beach Rehab, Corp. CurrentSince Feb 17, 2025 Accepting new patients
Royal Palm Beach Rehab, Corp Chiropractor Current Accepting new patients
Royal Palm Beach Rehab, Corp Chiropractor CurrentSince Feb 17, 2025 Accepting new patients
Royal Palm Beach Rehab, Corp Chiropractor Past Accepting new patients

Locations

9325 Glades Rd
Ste 104
Boca Raton, FL 33434
Phone (561) 513-8380

4971 Le Chalet Blvd
Ste 100
Boynton Beach, FL 33436
Phone (561) 733-5590

6415 Lake Worth Rd
Ste 309
Greenacres, FL 33463
Phone (561) 318-7432

3900 Hollywood Blvd
Ste 204
Hollywood, FL 33021
Phone (305) 306-0600

580 Village Blvd
Ste 215
West Palm Beach, FL 33409
Phone (561) 578-4478

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1780489500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4971 LE CHALET BLVD STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361418",
            "telephone_number": "561-791-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4971 LE CHALET BLVD STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361418",
            "telephone_number": "561-791-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANGOO",
        "first_name": "KYRAH",
        "middle_name": "BREANNA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "15138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.