Organization Active NPI

Chiropractic Trust LLC

  • Chiropractor
  • Kissimmee, FL
National Provider Identifier
1801990551
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH4042 Issued in FL
Legal business name
CHIROPRACTIC TRUST LLC
Practice address
335 W Oak St
Kissimmee, FL 34741-4421
Phone
(407) 870-1959
Fax
(407) 846-9942
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Authorized official

Name
Mrs. Carina Ortega Grasso, DC
Title
Physician/Owner
Phone
(407) 870-1959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH4042 FL Primary

Addresses

Primary practice location

335 W Oak St
Kissimmee, FL 34741-4421

Mailing address

335 W Oak St
Kissimmee, FL 34741-4421
Phone (407) 870-1959

Other identifiers 1

IdentifierTypeStateIssuer
3819485MedicaidFL

Other names 2

  • Grasso Chiropractic Doing business as
  • Chiropractic Trust Corp Former legal business name

National Provider Directory

National Provider Directory

Locations

335 W Oak St
Kissimmee, FL 34741
Phone (407) 870-1959

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1801990551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414421",
            "telephone_number": "407-870-1959",
            "fax_number": "407-846-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414421",
            "telephone_number": "407-870-1959",
            "fax_number": "407-846-9942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC TRUST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "ORTEGA GRASSO",
        "authorized_official_first_name": "CARINA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "407-870-1959",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3819485",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grasso Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grasso Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chiropractic Trust Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.