NPIMap

Organization Active NPI

American Institute of Sport and Function

  • Chiropractor
  • Davie, FL
National Provider Identifier
1891065173
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 10259 Issued in FL
Legal business name
AMERICAN INSTITUTE OF SPORT AND FUNCTION
Practice address
12565 Orange Dr
Suite 404
Davie, FL 33330-4303
Phone
(954) 423-8909
Fax
(954) 343-1498
NPI assigned
Jan 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Jason Lucas, D.C.NPI 1922249556
Title
Cfo
Phone
(954) 423-8909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH 10259 FL Primary

Addresses

Primary practice location

12565 Orange Dr
Suite 404
Davie, FL 33330-4303

Mailing address

12565 Orange Dr
Suite 404
Davie, FL 33330-4303
Phone (954) 423-8909

National Provider Directory

National Provider Directory

Locations

12565 Orange Dr
Ste 404
Davie, FL 33330
Phone (954) 423-8909

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1891065173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12565 ORANGE DR",
            "address_2": "SUITE 404",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304303",
            "telephone_number": "954-423-8909",
            "fax_number": "954-343-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12565 ORANGE DR",
            "address_2": "SUITE 404",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304303",
            "telephone_number": "954-423-8909",
            "fax_number": "954-343-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN INSTITUTE OF SPORT AND FUNCTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "954-423-8909",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.