Suncoast Healthcare Professionals PLLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

8740 Issued in FL

Legal business name

SUNCOAST HEALTHCARE PROFESSIONALS PLLC

Doing business as

HealthSource of Fort Walton Beach South

Practice address

431 E Hollywood Blvd
Mary Esther, FL 32569-2058

Phone

(850) 864-5300

NPI assigned

Nov 29, 2006

Last updated

Apr 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sarah Lynn Swisher-Leatherman, D.C.NPI 1104993609

Title

Owner

Phone

(850) 864-5300

Specialties & licenses 1

Addresses

Other names 1

• HealthSource of Fort Walton Beach South Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shaun Kahn, DC

  • Chiropractor
  • Destin, FL
  • NPI 1235249657
  Medicare reassignment Care Compare group NPD
• Jeffery Shawn Leatherman, D.C.

  • Sports Physician Chiropractor
  • Mary Esther, FL
  • NPI 1679640155
  Medicare reassignment Care Compare group
• Samuel Schepart

  • Chiropractor
  • Lutz, FL
  • NPI 1528536901
  Medicare reassignment NPD
• Adam Zylberman, DC

  • Chiropractor
  • Holmdel, NJ
  • NPI 1659017762

  FL

  Medicare reassignment NPD
• Trenten D Weser, D.C.

  • Chiropractor
  • Mary Esther, FL
  • NPI 1780535351
  Medicare reassignment
• David Andrew Bak, D.C.

  • Rehabilitation Chiropractor
  • Cumming, GA
  • NPI 1861838690

  FL

  Medicare reassignment
• Sarah Lynn Swisher-Leatherman, D.C.

  • Chiropractor
  • Mary Esther, FL
  • NPI 1104993609
  Authorized official Same address or phone
• Scott Russell Smith, D.C.

  • Chiropractor
  • Fort Walton Beach, FL
  • NPI 1326115825
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1891862322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 E HOLLYWOOD BLVD",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325692058",
            "telephone_number": "850-864-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 E HOLLYWOOD BLVD",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325692058",
            "telephone_number": "850-864-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST HEALTHCARE PROFESSIONALS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "SWISHER-LEATHERMAN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-864-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "8740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSource of Fort Walton Beach South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory Paul Staviski, M.D.
• Stepping Stones Professional Counseling, Inc.
• Amanda Kay Sternke, RBT
• Rebecca Stevens
• Stillwaters Counseling, LLC
• Sarah Lynn Swisher-Leatherman, D.C.
• Jenna Taliaferro
• Cecil Edwin Taylor, DC
• Kyle Aron Taylor, QASP-S
• Tender Care Medical Services of North Florida Inc.

• Sports Physician Chiropractor in Mary Esther, FL
• Providers in Mary Esther, FL by specialty
• Sports Physician Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.