Active NPI
Baymeadows Chiropractic and Physical Therapy LLC
- Chiropractor
- Jacksonville, FL
National Provider Identifier
1891920138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH9601
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH9601 | FL | Primary |
| Chiropractor | 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 DirectoryLocations
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.