Active NPI
Beyond Chiropractics
- Chiropractor
- Port St Lucie, FL
National Provider Identifier
1881926657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH9703
- Legal business name
- BEYOND CHIROPRACTICS
- Practice address
- 550 NW University Blvd
Ste. 104
Port St Lucie, FL 34986-2285 - Phone
- (772) 878-0004
- Fax
- (772) 878-3206
- NPI assigned
- Feb 4, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew Petrovic, D.C.
- Title
- President
- Phone
- (772) 878-0004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH9703 | FL | Primary |
Addresses
Primary practice location
550 NW University Blvd
Ste. 104
Port St Lucie, FL 34986-2285
Mailing address
550 NW University Blvd
Ste. 104
Port St Lucie, FL 34986-2285
Phone (772) 878-0004
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265241600000",
"number": "1881926657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 NW UNIVERSITY BLVD",
"address_2": "STE. 104",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349862285",
"telephone_number": "772-878-0004",
"fax_number": "772-878-3206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 NW UNIVERSITY BLVD",
"address_2": "STE. 104",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349862285",
"telephone_number": "772-878-0004",
"fax_number": "772-878-3206"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEYOND CHIROPRACTICS",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-04",
"last_updated": "2010-02-04",
"status": "A",
"authorized_official_last_name": "PETROVIC",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "772-878-0004",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH9703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.