Organization Active NPI

Baymeadows Chiropractic and Physical Therapy LLC

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1891920138
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9601 Issued in FL
Legal business name
BAYMEADOWS CHIROPRACTIC AND PHYSICAL THERAPY LLC
Practice address
8206 Philips Hwy
Jacksonville, FL 32256-1220
Phone
(904) 673-9691
NPI assigned
May 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

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

Authorized official

Name
Agostinho Oliveira, DC
Title
MGRM
Phone
(904) 673-9691

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH9601 FL Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH9245 FL

Addresses

Primary practice location

8206 Philips Hwy
Jacksonville, FL 32256-1220

Mailing address

2220 County Road 210 W
Suite 108, Box 327
Saint Johns, FL 32259-4058

National Provider Directory

National Provider Directory

Locations

8206 Philips Hwy
Jacksonville, FL 32256
Phone (904) 673-9691

NPI Registry JSON

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1891920138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 COUNTY ROAD 210 W",
            "address_2": "SUITE 108, BOX 327",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322594058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8206 PHILIPS HWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322561220",
            "telephone_number": "904-673-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYMEADOWS CHIROPRACTIC AND PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-15",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "OLIVEIRA",
        "authorized_official_first_name": "AGOSTINHO",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "904-673-9691",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9601",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; 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.