Andrew Thomas Portal, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 10739 Issued in FL

Practice address

844 N Stone St
Ste 202
Deland, FL 32720-3208

Phone

(386) 734-2592

Fax

(386) 734-1773

NPI assigned

May 16, 2013

Last updated

Jan 10, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wesley Chapel Spine and Rehab LLCGroup PAC ID 3375943145, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wesley Chapel Spine & Rehab LLC

  dba Wesley Chapel Spine & Sports Medicine

  • Chiropractor
  • Tampa, FL
  • NPI 1336721075
  Medicare reassignment Care Compare group NPD
• Total Health of Wesley Chapel Inc

  • Chiropractor
  • Tampa, FL
  • NPI 1649441270
  NPD

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1790121713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 N STONE ST",
            "address_2": "STE 202",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203208",
            "telephone_number": "386-734-2592",
            "fax_number": "386-734-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 N STONE ST",
            "address_2": "STE 202",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203208",
            "telephone_number": "386-734-2592",
            "fax_number": "386-734-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTAL",
        "first_name": "ANDREW",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-16",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Plate, LSW
• Justin Platt, COTA
• Aleasha Renee Polanco-Monroe
• Shannon Thor Pollard, ARNP
• Lisa Brannen Pompa, LMHC
• Debbie L. Porter, LMHC
• Jerome J Porter
• Robert Wagner Poss, DC
• Michelle Ann Powell, PMHNP-BC; FNP-BC
• Martin Gino Fernandez Prado, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.