Sport & Spinal Rehab LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9605 Issued in FL

Legal business name

SPORT & SPINAL REHAB LLC

Practice address

103 S US Highway 1 Ste B4
Jupiter, FL 33477-5101

Phone

(561) 406-6905

Fax

(561) 406-6913

NPI assigned

Feb 13, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Brandon Travis Nevel, D.C.NPI 1174789432

Title

President

Phone

(561) 406-6905

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Brandon Travis Nevel, D.C.

  • Chiropractor
  • Jupiter, FL
  • NPI 1174789432
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554768000000",
    "number": "1811236656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S US HIGHWAY 1 STE B4",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775101",
            "telephone_number": "561-406-6905",
            "fax_number": "561-406-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S US HIGHWAY 1 STE B4",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775101",
            "telephone_number": "561-406-6905",
            "fax_number": "561-406-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT & SPINAL REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-13",
        "last_updated": "2019-04-09",
        "status": "A",
        "authorized_official_last_name": "NEVEL",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "TRAVIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-406-6905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madalyn Marie Spindle, APRN
• Spine Health and Wellness Solutions LLC
• Spine LLC
• Sport & Spinal Rehab
• Sport & Spinal Rehab
• Sportperform
• Sports and Spine Injury Center PA
• Jaimie St Ama, PSY.D.
• Jose Stable, MD
• James Mark Stafford, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.