Kaitlin Fogarty

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH15513 Issued in FL

Practice address

4220 Valley Ridge Blvd Ste 106
Ponte Vedra, FL 32081-5173

Phone

(904) 217-0361

NPI assigned

Apr 14, 2025

Last updated

Sep 2, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Chiropractic Wellness Center P C

  • Chiropractor
  • Johns Creek, GA
  • NPI 1093021818
  NPD
• East Coast Family Chiropractic PLLC

  dba MaxLiving

  • Chiropractor
  • Ponte Vedra Beach, FL
  • NPI 1366170771
  NPD (past)

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1801681242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6385 MCGINNIS FERRY RD STE 201",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300053672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 VALLEY RIDGE BLVD STE 106",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320815173",
            "telephone_number": "904-217-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGARTY",
        "first_name": "KAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR011389",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH15513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flagler Professional Health Care Services, Inc. (Flagler Health Imaging)
• Kathryn Fleming Hanson, PSY.D.
• Kerri Michele Fleming, PT, DPT
• Jordan Fletcher
• Florida Ocd and Anxiety Specialists, LLC
• Arnold Douglas Fong, M.D.
• Wiley Douglas Fowler III, PA-C
• Emily Mira Fox, LCSW
• Katherine Fox, PSY.D.
• Eugene B. Freid, MD

• Chiropractor in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.