Active NPI
Elizabeth Rollo, DC
- Chiropractor
- Wilton Manors, FL
National Provider Identifier
1881403541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 15242
- Practice address
- 2200 NE 26TH St Unit W
Wilton Manors, FL 33305-1538 - Phone
- (305) 450-7739
- NPI assigned
- Jan 6, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 15242 | FL | Primary |
Addresses
Primary practice location
2200 NE 26TH St Unit W
Wilton Manors, FL 33305-1538
Mailing address
643 Oleander Dr
Hallandale Beach, FL 33009-6531
Phone (754) 267-3607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15242 | FL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esencia Wellness & Therapy LLC. | Current | Accepting new patients |
Locations
4431 SW 64th Ave
Ste 105
Davie, FL 33314
Phone (954) 316-1476
7310 W McNab Rd
Ste 108110
Tamarac, FL 33321
Phone (954) 532-3228
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.
-
- Physical Therapist
- Davie, FL
- NPI 1952845919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1881403541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "643 OLEANDER DR",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330096531",
"telephone_number": "754-267-3607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 NE 26TH ST UNIT W",
"city": "WILTON MANORS",
"state": "FL",
"postal_code": "333051538",
"telephone_number": "305-450-7739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLLO",
"first_name": "ELIZABETH",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-06",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "15242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilton Manors, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.