Individual provider Active NPI

Cindy Le

  • Chiropractor
  • Daytona Beach, FL
National Provider Identifier
1871303032
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15317 Issued in FL
Practice address
305 Memorial Medical Pkwy Ste 305
Daytona Beach, FL 32117-5169
Phone
(386) 673-0201
NPI assigned
Jan 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15317 FL Primary

Addresses

Primary practice location

305 Memorial Medical Pkwy Ste 305
Daytona Beach, FL 32117-5169

Mailing address

3900 Yorktowne Blvd Apt 2006
Port Orange, FL 32129-6059
Phone (727) 534-5052

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250320002745 FL Practitioner - Chiropractic 8123540952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acquaro and Wakeman Chiropractic and Rehabilitation IncGroup PAC ID 5294718003, 4 clinicians

Practice addresses (Care Compare)

305 Memorial Medical Pkwy
Suite 305
Daytona Beach, FL 32117-5169
Phone (386) 673-0201

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
15317FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wakeman Chiropractic , PA Chiropractor CurrentSince Jan 13, 2025 Accepting new patients

Locations

305 Memorial Medical Pkwy
Daytona Beach, FL 32117
Phone (386) 231-6039

305 Memorial Medical Pkwy
Ste 305
Daytona Beach, FL 32117
Phone (386) 673-0201

4883 Palm Coast Pkwy NW
Unit 4
Palm Coast, FL 32137
Phone (386) 445-4455

5821 S Williamson Blvd
Ste 206
Port Orange, FL 32128
Phone (386) 673-0201

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1871303032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 YORKTOWNE BLVD APT 2006",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296059",
            "telephone_number": "727-534-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MEMORIAL MEDICAL PKWY STE 305",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175169",
            "telephone_number": "386-673-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "CINDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "15317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.