Individual provider Active NPI

Leonard A. Rollman, DC

  • Chiropractor
  • Orange City, FL
National Provider Identifier
1851729388
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11028 Issued in FL
Practice address
2415 S Volusia Ave Ste A2
Orange City, FL 32763-7623
Phone
(386) 775-6879
Fax
(386) 775-0307
NPI assigned
Oct 18, 2013
Last updated
Sep 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH11028 FL Primary

Addresses

Primary practice location

2415 S Volusia Ave Ste A2
Orange City, FL 32763-7623

Mailing address

2415 S Volusia Ave
Ste A2
Orange City, FL 32763-7623
Phone (386) 775-6879

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140327001788 FL Practitioner - Chiropractic 2466683834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2415 S Volusia Ave
Suite A2
Orange City, FL 32763-7623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH11028FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Health - Daytona Beach, LLC Chiropractor CurrentSince May 30, 2018 Accepting new patients
Fortis Physical Therapy, LLC PastSince Feb 2, 2023 Accepting new patients

Locations

701 Ridgewood Ave
#B
Holly Hill, FL 32117
Phone (386) 775-6879

2275 N Volusia Ave
Ste 100
Orange City, FL 32763
Phone (386) 775-6879

2415 S Volusia Ave
Ste A2
Orange City, FL 32763
Phone (386) 775-0905

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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": "1382054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1851729388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 S VOLUSIA AVE",
            "address_2": "STE A2",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637623",
            "telephone_number": "386-775-6879",
            "fax_number": "386-775-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 S VOLUSIA AVE STE A2",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637623",
            "telephone_number": "386-775-6879",
            "fax_number": "386-775-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLMAN",
        "first_name": "LEONARD",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-18",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.