Spine Health and Wellness Solutions LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SPINE HEALTH AND WELLNESS SOLUTIONS LLC

Practice address

1200 Town Center Dr Ste 119
Jupiter, FL 33458-5257

Phone

(772) 262-2530

NPI assigned

Jul 27, 2022

Organization subpart

No

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

Authorized official

Name

Baillie Da Silva

Title

Owner

Phone

(772) 262-2530

Specialties & licenses 1

Addresses

Other names 1

• FLEX SPINE AND SPORT Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

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

• Baillie Axelsen

  • Chiropractor
  • Jupiter, FL
  • NPI 1376176230
  Medicare reassignment NPD
• Daniel Da Silva Jr., D.C

  • Chiropractor
  • West Palm Beach, FL
  • NPI 1346839891
  Medicare reassignment NPD

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1891421384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7034 GALLEON CV",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334186519",
            "telephone_number": "772-262-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 TOWN CENTER DR STE 119",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585257",
            "telephone_number": "772-262-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE HEALTH AND WELLNESS SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "DA SILVA",
        "authorized_official_first_name": "BAILLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-262-2530"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLEX SPINE AND SPORT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Speech Waves Therapy Services, LLC
• Kelly Ruthanne Spencer, ARNP
• Heather Spicer
• Spinal Decompression of South Florida, LLC
• Madalyn Marie Spindle, APRN
• Spine LLC
• Sport & Spinal Rehab
• Sport & Spinal Rehab
• Sport & Spinal Rehab LLC
• Sportperform

• Chiropractor in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.

Verify at the official NPI Registry.