Organization Active NPI

Beyond Chiropractics

  • Chiropractor
  • Port St Lucie, FL
National Provider Identifier
1881926657
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9703 Issued in FL
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

Updated by the provider on Feb 4, 2010

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.